NPIMap

Organization Active NPI

City of Bridgeport Health Dept. School Based Health Centers

  • Health Service Clinic/Center
  • Bridgeport, CT
National Provider Identifier
1881713246
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
CITY OF BRIDGEPORT HEALTH DEPT. SCHOOL BASED HEALTH CENTERS
Doing business as
Columbus Elementary School Based Health Center
Practice address
275 George St
Bridgeport, CT 06604-3320
Phone
(203) 576-8461
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mirian Evans
Title
Director of Health
Phone
(203) 576-7680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

275 George St
Bridgeport, CT 06604-3320

Mailing address

752 E Main St
Bridgeport, CT 06608-2335
Phone (203) 576-7052

Other names 1

  • Columbus Elementary School Based 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

Other organizations with this tax ID 13

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

View all 13

Locations

275 George St
Bridgeport, CT 06604
Phone (203) 576-8461

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881713246",
    "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": "203-576-7052",
            "fax_number": "203-332-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 GEORGE ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066043320",
            "telephone_number": "203-576-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BRIDGEPORT HEALTH DEPT. SCHOOL BASED HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MIRIAN",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH",
        "authorized_official_telephone_number": "203-576-7680",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbus Elementary School Based 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 Aug 22, 2020; 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.