Optimus Health Care INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Bridgeport, Connecticut
1174893648- Practice location
- 790 Central Ave, Bridgeport, CT 06607-1705
- Phone
- 203-332-4567
- Fax
- 203-332-0376
- Last updated
- December 30, 2011
Optimus Health Care INC is a healthcare organization based in Bridgeport, CT. Optimus Health Care INC practices in Bridgeport, CT. The NPI Number for Optimus Health Care INC is 1174893648 and holds a License No. 0200 (CT). The current practice location address for Optimus Health Care INC is 790 Central Ave, Bridgeport, CT 06607-1705 and can be reached out via phone at 203-332-4567 and via fax at 203-332-0376.
Provider Profile Details
- NPI Number
- 1174893648
- Provider Name
- Optimus Health Care INC
- Provider Entity Type
- Organization
- Address
- 790 Central Ave, Bridgeport, CT 06607-1705
- Phone Number
- 203-332-4567
- Fax Number
- 203-332-0376
- Primary Taxonomy
- Clinic/Center, Federally Qualified Health Center (FQHC) · 261QF0400X
- Organization Subpart
- No
- Authorized Official
- Ludwig Spinelli · Chief Executive Officer · 203-696-3260
- Other Names
- Ralphola Taylor Community Center (Doing Business As)
- Provider Enumeration Date
- December 30, 2011
- Last Update Date
- December 30, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 790 Central Ave
Bridgeport, CT 06607-1705 - City
- Bridgeport
- State
- Connecticut
- Zip
- 06607-1705
- Phone Number
- 203-332-4567
- Fax Number
- 203-332-0376
Provider Business Mailing Address Details
- Address
- 982 E Main St
Bridgeport, CT 06608-1913 - City
- Bridgeport
- State
- CT
- Zip
- 06608-1913
- Phone Number
- 203-696-3260
- Fax Number
- 203-332-0376
License Information
- License Number
- 0200
- License State
- CT
- Taxonomy
- Clinic/Center, Federally Qualified Health Center (FQHC) · 261QF0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Optimus Health Care INC?
The NPI number of Optimus Health Care INC is 1174893648. It was assigned on December 30, 2011 and is currently active in the NPPES registry.
What is the specialty of Optimus Health Care INC?
Optimus Health Care INC is registered under the primary taxonomy Clinic/Center, Federally Qualified Health Center (FQHC) (code 261QF0400X), licensed in CT under license number 0200.
Where does Optimus Health Care INC practice?
The practice location is 790 Central Ave, Bridgeport, CT 06607-1705. The office can be reached at 203-332-4567 (phone) or 203-332-0376 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174893648 directly on the NPPES registry website.