| Optimus Health Care Inc. | |
|
1351 Washington Blvd Stamford CT 06902-2419 | |
| (203) 621-3700 | |
| (203) 621-3701 |
| Full Name | Optimus Health Care Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1351 Washington Blvd, Stamford, Connecticut |
| Authorized Official Name and Position | Ludwig Spinelli (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2036963260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimus Health Care Inc. 982 E Main St Bridgeport CT 06608-1913 Ph: (203) 696-3260 | Optimus Health Care Inc. 1351 Washington Blvd Stamford CT 06902-2419 Ph: (203) 621-3700 |
| NPI Number | 1467606087 |
|---|---|
| Provider Enumeration Date | 11/10/2008 |
| Last Update Date | 04/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467606087 | NPI | - | NPPES |
| 004234788 | Medicaid | CT | |
| C00383 | Other | CT | MEDICARE PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 0448 (Connecticut) | Primary |
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