NPIMap

Organization Active NPI

City of Bridgeport Health Department

  • Public Health or Welfare Agency
  • Bridgeport, CT
National Provider Identifier
1417143595
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
0034 Issued in CT
Legal business name
CITY OF BRIDGEPORT HEALTH DEPARTMENT
Doing business as
Harborview Health Center
Practice address
376 E Washington Ave
Bridgeport, CT 06608-2149
Phone
(203) 576-7485
NPI assigned
Sep 21, 2007
Organization subpart
Yes
Parent organization
CITY OF BRIDGEPORT HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Marion Evans, M.D.
Title
Health Director
Phone
(203) 576-7680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 0034 CT Primary

Addresses

Primary practice location

376 E Washington Ave
Bridgeport, CT 06608-2149

Mailing address

752 E Main St
Bridgeport, CT 06608-2335
Phone (203) 576-7680

Other names 1

  • Harborview Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Hygiene Division14 organizations share this tax ID, including this one
Part of
Dental Hygiene Division

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1417143595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 E MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066082335",
            "telephone_number": "203-576-7680",
            "fax_number": "203-576-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 E WASHINGTON AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066082149",
            "telephone_number": "203-576-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BRIDGEPORT HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF BRIDGEPORT HEALTH DEPARTMENT",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MARION",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "203-576-7680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "CT",
            "license": "0034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harborview Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.