BLACKHAM ELEMENTARY SCHOOL BASED HEALTH CENTER
NPI 1568581908
Clinic/Center - Health Service in Bridgeport, CT
- Organization
- Clinic/Center
- Health Service
About BLACKHAM ELEMENTARY SCHOOL BASED HEALTH CENTER
This page provides the complete NPI Profile along with additional information for Blackham Elementary School Based Health Center, a provider established in Bridgeport, Connecticut operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1568581908 assigned on March 2007. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Blackham Elementary School Based Health Center. The authorized official of this NPI record is Dr. Mirian Evans (Director Of Health)
- NPI
- 1568581908 Verify this NPI
- Provider Legal Name
- CITY OF BRIDGEPORT HEALTH DEPT SCHOOL BASED HEALTH CENTER
- Other Organization Name
- BLACKHAM ELEMENTARY SCHOOL BASED HEALTH CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 425 THORME ST BRIDGEPORT, CT 06606
- Location Phone
- (203) 576-7815
- Mailing Address
- 752 E MAIN ST BRIDGEPORT, CT 06608
- Mailing Phone
- (203) 576-7052
- Mailing Fax
- (203) 332-5641
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-28-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Health Service
- Taxonomy Code
- 261QH0100X
- Type
- Ambulatory Health Care Facilities
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568581908, enumerated as an "organization" on March 28, 2007.
The provider is located at 425 THORME ST BRIDGEPORT, CT 06606 and the phone number is (203) 576-7815.
Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.
