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NPI Code Detail

MEDICARE: BRIDGES HEALTHCARE INC.

MEDICARE: BRIDGES HEALTHCARE INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center0313CT
2261QM0850XAdult Mental Health Clinic/Center0314CT
3261QM0855XAdolescent and Children Mental Health Clinic/CenterC0034CT
4261QM0850XAdult Mental Health Clinic/Center0316CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
177ABH0005CT01OTHERCTANTHEM BCBS
2165319OTHERCTVALUE OPTIONS
3ANC 1406OTHERCTOXFORD HEALTH PLAN
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5118591000OTHERCTMAGELLAN PROVIDER NUMBER

General Provider Information

NPI Number : 1851350300
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIDGES HEALTHCARE INC.
Provider Business Mailing Address
First Line : 949 BRIDGEPORT AVE
Second Line :
City : MILFORD
State : CT
Zip : 06460-3142
Country : US
Telephone Number : 203-878-6365
Fax Number : 203-301-2397
Provider Business Practice Location Address
First Line : 949 BRIDGEPORT AVE
Second Line :
City : MILFORD
State : CT
Zip : 06460-3142
Country : US
Telephone Number : 203-878-6365
Fax Number : 203-301-2397
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : MS. JENNIFER FIORILLO
Credential :
Telephone Number : 203-878-6365
Provider Enumeration Date : 03/22/2006
Last Update Date : 02/08/2022

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