State Of Connecticut in Bridgeport - Psychiatric Hospital
State Of Connecticut - NPI 1720013360
State Of Connecticut is a Psychiatric Hospital in Bridgeport, Connecticut. State Of Connecticut practices all healthcare services and medical treatments related to Psychiatric Hospital. The NPI Number for State Of Connecticut is 1720013360. The last update date is 2016-03-16.
State Of Connecticut's current location address is 1635 Central Ave, Bridgeport, Connecticut. You can contact this provider via phone number 2035517660 and fax number 2035517481. The mailing address for State Of Connecticut is 1635 Central Ave, Bridgeport, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Connecticut |
|---|---|
| Address | 1635 Central Ave, Bridgeport, Connecticut |
| Phone Number | 2035517660 |
| Fax Number | 2035517481 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Dipietro A Stephen |
| Telephone Number | 8604186923 |
NPI Number Detail
| NPI Number | 1720013360 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2016-03-16 |
Provider Mailing Address Detail
| Address | 1635 Central Ave |
|---|---|
| City | Bridgeport |
| State | Connecticut (CT) |
| Post Code | 6610 |
| Phone Number | 2035517660 |
| Fax Number | 2035517481 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Hospital |
|---|---|
| Taxonomy | 283Q00000X |
|
Definition: An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4025607 | CT | -- | |
| 4122925 | CT | -- | |
| 4075669 | CT | -- | |
| 4075651 | CT | -- | |
| 4120060 | CT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to State Of Connecticut by the Centers for Medicare & Medicaid Services?
The State Of Connecticut has been issued the NPI (National Provider Identifier) 1720013360 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where State Of Connecticut is located?
The State Of Connecticut is situated at the following address: 1635 Central Ave, Bridgeport, CT, 6610.
What is State Of Connecticut's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for State Of Connecticut is Psychiatric Hospital, and the corresponding taxonomy classification code for this specialized field is 283Q00000X.
When was the State Of Connecticut's 1720013360 issued?
The State Of Connecticut's 1720013360 was issued on 2006-07-12.
As of what date was the information pertaining to State Of Connecticut, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to State Of Connecticut, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-03-16.