Organization
BRIDGES HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER FIORILLO (PRESIDENT AND CEO)
(203) 878-6365
Entity
Organization
Contact information
Practice address
949 BRIDGEPORT AVE, MILFORD, CT 06460-3142
(203) 878-6365
(203) 301-2397
Mailing address
949 BRIDGEPORT AVE, MILFORD, CT 06460-3142
(203) 878-6365
(203) 301-2397
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
0313
CT
261QM0850X
Adult Mental Health Clinic/Center
0314
CT
261QM0850X
Adult Mental Health Clinic/Center
Primary
0316
CT
261QM0855X
Adolescent and Children Mental Health Clinic/Center
C0034
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004039244
—
CT
01
—
118591000
MAGELLAN PROVIDER NUMBER
CT
01
—
165319
VALUE OPTIONS
CT
01
—
77ABH0005CT01
ANTHEM BCBS
CT
01
—
ANC 1406
OXFORD HEALTH PLAN
CT
Enumeration date
03/22/2006
Last updated
02/08/2022
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