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ROOSEVELT ELEMENTARY SCHOOL BASED HEALTH CENTER
NPI 1841319803
Clinic/Center - Health Service in Bridgeport, CT

Active since March 28, 2007
680 PARK AVE, BRIDGEPORT, CT 06604(203) 576-8090 Get Directions Write a Review

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

About Roosevelt Elementary School Based Health Center NPPES

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

ROOSEVELT ELEMENTARY SCHOOL BASED HEALTH CENTER (NPI 1841319803) 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

NPI1841319803
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameCITY OF BRIDGEPORT HEALTH DEPT. SCHOOL BASED HEALTH CENTER
Location Address680 PARK AVEBridgeport, CT 06604-4610
Mailing Address752 E Main StBridgeport, CT 06608-2335 · (203) 576-8090
Phone(203) 576-8090
Organization SubpartNo
Authorized OfficialMirian EvansDirector Of Health · (203) 576-7680
Enumeration DateMarch 28, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1841319803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
680 PARK AVE, Bridgeport, CT 06604
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Other Names 1

Doing Business AsRoosevelt 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.

MRS. NANCY IRENE MUNN APRN
Nurse Practitioner (Pediatrics)
680 PARK AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 576-8168

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 1841319803. It was assigned to this organization in the NPPES registry on March 28, 2007. The provider is doing business as Roosevelt 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 680 Park Ave, Bridgeport, CT 06604. The listed phone number is (203) 576-8090.

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.