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BLACKHAM ELEMENTARY SCHOOL BASED HEALTH CENTER
NPI 1568581908
Clinic/Center - Health Service in Bridgeport, CT

Active since March 28, 2007
425 THORME ST, BRIDGEPORT, CT 06606(203) 576-7815 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blackham Elementary School Based Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACKHAM ELEMENTARY SCHOOL BASED HEALTH CENTER (NPI 1568581908) is a healthcare organization registered as a health service in Bridgeport, Connecticut and active in the NPI registry since March 2007. The organization lists Mirian Evans, Director Of Health, as its authorized official.

NPPES Registry Identity

NPI1568581908
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameCITY OF BRIDGEPORT HEALTH DEPT SCHOOL BASED HEALTH CENTER
Location Address425 THORME STBridgeport, CT 06606-3418
Mailing Address752 E Main StBridgeport, CT 06608-2335 · (203) 576-7052 · Fax (203) 332-5641
Phone(203) 576-7815
Organization SubpartNo
Authorized OfficialMirian EvansDirector Of Health · (203) 576-7680
Enumeration DateMarch 28, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1568581908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
425 THORME ST, Bridgeport, CT 06606
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Other Names 1

Doing Business AsBlackham Elementary School Based Health Center

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASENA DEROHANNESIAN
Nurse Practitioner (Pediatrics)
425 THORME ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 275-4115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is City Of Bridgeport Health Dept School Based Health Center's NPI number?

The NPI number for City Of Bridgeport Health Dept School Based Health Center is 1568581908. It was assigned to this organization in the NPPES registry on March 28, 2007. The provider is doing business as Blackham Elementary School Based Health Center.

Where is City Of Bridgeport Health Dept School Based Health Center located?

City Of Bridgeport Health Dept School Based Health Center is located at 425 Thorme St, Bridgeport, CT 06606. The listed phone number is (203) 576-7815.

What is City Of Bridgeport Health Dept School Based Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for City Of Bridgeport Health Dept School Based Health Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.