Organization
OPTIMUS HEALTH CARE
Active
Other names
Integrated Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LUDWIG SPINELLI (CEO)
(203) 696-3260
Entity
Organization
Contact information
Practice address
780 SUMMER ST, STAMFORD, CT 06901-1089
(203) 388-1611
(203) 388-1683
Mailing address
982 E MAIN ST, BRIDGEPORT, CT 06608-1913
(203) 696-3260
(203) 332-0376
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
0606
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004234788
—
CT
Enumeration date
03/07/2012
Last updated
03/07/2012
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