BRIDGES PRIMARY CARE CENTER – NPI #1073992764
Clinic/Center

BRIDGES PRIMARY CARE CENTER is an AHC clinic located in MILFORD, CT. NPPES has assigned the NPI number 1073992764 to BRIDGES PRIMARY CARE CENTER on May 27, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BRIDGES PRIMARY CARE CENTER” is a dba name, the actual legal business name for this organization is OPTIMUS HEALTH CARE INC. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRIDGES PRIMARY CARE CENTER below.

NPI Profile for
OPTIMUS HEALTH CARE INC

NPI Number
1073992764
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OPTIMUS HEALTH CARE INC
Doing Business As (dba): BRIDGES PRIMARY CARE CENTER
Primary location
949 BRIDGEPORT AVE
MILFORD, CT 06460-3142
Phone: (203) 878-6365 Fax: (203) 683-3615
Mailing address
982 E MAIN ST
BRIDGEPORT, CT 06608-1913
Phone: (203) 696-3260 Fax: (203) 683-3620
Organization Subpart
No
Authorized Official
LUDWIG SPINELLI
CEO
Phone: (203) 696-3260
Updated
Identifiers

Identifiers for BRIDGES PRIMARY CARE CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE PART B C00383CTC00383
MEDICAIDCT004234788
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
CT 0748

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.