Provider Demographics
NPI:1619553021
Name:BRIDGEPORT HOSPITAL
Entity Type:Organization
Organization Name:BRIDGEPORT HOSPITAL
Other - Org Name:BRIDGEPORT HOSPITAL MILFORD CAMPUS IP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIR, REGULATORY REIMBURSEMENT YNHHS
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:GERETTE
Authorized Official - Last Name:MESSINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-688-8543
Mailing Address - Street 1:100 CHURCH ST S # MCS2
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06519-1703
Mailing Address - Country:US
Mailing Address - Phone:203-688-8543
Mailing Address - Fax:203-688-6005
Practice Address - Street 1:300 SEASIDE AVE
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-4603
Practice Address - Country:US
Practice Address - Phone:203-876-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-24
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital