Southwest Connecticut Mental Health System

LBN: State Of Connecticut
Southwest Connecticut Mental Health System is an health care organization with primary practice located at 1635 Central Ave , Bridgeport CT 06610. The organization recently has only one registered license in Hospitals / Psychiatric Hospital, which is considered as the primary health care specialty. State Of Connecticut can be contacted via phone (203) 551-7660, or through Dipietro, Stephen A via phone (860) 418-6923.

Contact Information

Primary practice address
1635 Central Ave Bridgeport CT 06610
Fax: (203) 551-7481
Website:
Authorized official contact:
Name: Dipietro, Stephen A

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Psychiatric Hospital 283Q00000X

Profile Details

NPI number 1720013360
LBN Legal business name State Of Connecticut
DBA Doing business as Southwest Connecticut Mental Health System
Authorized official Dipietro, Stephen A
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2006
Last updated Mar 16th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720013360 NPPES
Connecticut MEDICAID 004025607
Connecticut MEDICAID 004122925
Connecticut MEDICAID 004075669
Connecticut MEDICAID 004075651
Connecticut MEDICAID 004120060

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