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Organization

BRIDGEPORT HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACQUELINE WRINN (DIRECTOR)
(203) 688-8411
Entity
Organization

Contact information

Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3775
Mailing address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3775

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0040
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004025003
CT
01
07D0099572
CLIA
01
C00020
FIRSTCOAST MEDICAREPARTB
Enumeration date
10/27/2005
Last updated
11/06/2025
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