Organization
OPTIMUS HEALTH CARE INC
Active
Other names
Bridges Primary Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUDWIG SPINELLI (CEO)
(203) 696-3260
Entity
Organization
Contact information
Practice address
949 BRIDGEPORT AVE, MILFORD, CT 06460-3142
(203) 878-6365
(203) 683-3615
Mailing address
982 E MAIN ST, BRIDGEPORT, CT 06608-1913
(203) 696-3260
(203) 683-3620
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
0748
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004234788
—
CT
01
—
C00383
MEDICARE PART B C00383
CT
Enumeration date
05/27/2015
Last updated
05/27/2015
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