Active NPIOrganization

Lifebridge Community Services, INC.

Clinic/Center, Mental Health (Including Community Mental Health Center) in Bridgeport, Connecticut

NPI Number1922006923
Practice location
475 Clinton Ave, Bridgeport, CT 06605-1700
Fax
203-368-9167
Last updated
November 18, 2020

Lifebridge Community Services, INC. is a healthcare organization based in Bridgeport, CT. Lifebridge Community Services, INC. practices in Bridgeport, CT. The NPI Number for Lifebridge Community Services, INC. is 1922006923. The current practice location address for Lifebridge Community Services, INC. is 475 Clinton Ave, Bridgeport, CT 06605-1700 and can be reached out via phone at 203-368-4291 and via fax at 203-368-9167.

Provider Profile Details

NPI Number
1922006923
Provider Name
Lifebridge Community Services, INC.
Provider Entity Type
Organization
Address
475 Clinton Ave, Bridgeport, CT 06605-1700
Phone Number
203-368-4291
Fax Number
203-368-9167
Organization Subpart
No
Authorized Official
Frank Farias · Chief Financial & Hr Officer · 203-368-4291
Other Names
Fsw, INC (Former Legal Business Name)
Provider Enumeration Date
July 13, 2005
Last Update Date
November 18, 2020
Certification Date
November 18, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
475 Clinton Ave
Bridgeport, CT 06605-1700
Zip
06605-1700
Phone Number
203-368-4291
Fax Number
203-368-9167
Bridgeport, CT 06605Get directions →

Provider Business Mailing Address Details

Address
475 Clinton Ave
Bridgeport, CT 06605-1700
City
Bridgeport
State
CT
Zip
06605-1700
Phone Number
203-368-4291
Fax Number
203-368-9167

License Information

License State (2)
CT

Legacy Identifiers

IdentifierTypeStateIssuer
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 Lifebridge Community Services, INC.?

The NPI number of Lifebridge Community Services, INC. is 1922006923. It was assigned on July 13, 2005 and is currently active in the NPPES registry.

What is the specialty of Lifebridge Community Services, INC.?

Lifebridge Community Services, INC. is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X).

Where does Lifebridge Community Services, INC. practice?

The practice location is 475 Clinton Ave, Bridgeport, CT 06605-1700. The office can be reached at 203-368-4291 (phone) or 203-368-9167 (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 1922006923 directly on the NPPES registry website.

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