GOODWILL INDUSTRIES OF WESTERN CONNECTICUT, INC. (NPI# 1013902626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013902626 |
| Entity Type | Organization |
| Organization Name | GOODWILL INDUSTRIES OF WESTERN CONNECTICUT, INC. |
| Practice Address |
165 Ocean Ter Bridgeport CT 06605-2719 |
| Practice Telephone | 2033686511 |
| Practice Fax Number | 2033359326 |
| Mailing Telephone | 2033686511 |
| Mailing Fax Number | 2033359326 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DAVID TURNER (PRESIDENT/CEO) |
| Authorized Official Telephone | 2033686511 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| Street Address |
165 OCEAN TER |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06605-2719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497312276 | Stacy-ann Thompson-grant | Social Worker | 170 Bennet T Street, Bridgeport, CT 06605 | 2019-05-28 |
| 1720502149 | Sheree Amankwah | Counselor | 170 Bennett Street, Bridgeport, CT 06605 | 2017-07-27 |
| 1417477324 | Aracelis Robertson | Case Manager/Care Coordinator | 1646 Fairfield Avenue, 3rd Floor, Bridgeport, CT 06605 | 2017-06-21 |
| 1699158170 | Cortney Davis | Physician Assistant | 3250 Fairfield Ave, Unit 217, Bridgeport, CT 06605 | 2015-07-02 |
| 1083020051 | Douglas Mccoy | Nurse Practitioner | 46 Albion St., Bridgeport, CT 06605 | 2014-07-10 |
| 1932513785 | Hallie Claire Riggs | Social Worker | 1730 State St Ext, Bridgeport, CT 06605 | 2014-06-19 |
| 1831518513 | Yvonne Booy | Counselor | 46 Albion Street, Bridgeport, CT 06605 | 2014-04-10 |
| 1760556955 | Joel W Allen | Obstetrics & Gynecology | 625 Clinton Ave, Bridgeport, CT 06605 | 2006-11-20 |
| 1316046428 | Allen P Schlein | Orthopaedic Surgery | 650 Clinten Avenue, Bridgeport, CT 06605 | 2006-09-22 |
| 1336127984 | Hancock Pharmacy | Pharmacy | 1557 Fairfield Ave, Bridgeport, CT 06605 | 2006-01-04 |
| Find all providers in zip 06605 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
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| 1588954580 | Central Connecticut Area Health Education Center | Voluntary or Charitable | 20-28 Sargeant St, Hartford, CT 06105-1400 | 2011-04-11 |
| 1528361243 | Youth Light Foundation | Voluntary or Charitable | 31 East St, Morris, CT 06763-1802 | 2010-12-20 |
| 1740450543 | Jewish Family Services of Greenwich Inc | Voluntary or Charitable | 1 Holly Hill Ln, Greenwich, CT 06830-6001 | 2008-03-07 |
| 1265642623 | Ira Jay Kanfer | Voluntary or Charitable | 101 Wildwood Dr, Avon, CT 06001-4408 | 2007-05-23 |
| 1275036501 | Northwest Hills Youth and Family Services Inc. | Voluntary or Charitable | 8 Sackett Hill Rd, Warren, CT 06754 | 2018-03-13 |
| 1215276357 | Vision of Faith Outrreach Inc | Voluntary or Charitable | 582 W Main St, Suite 101, New Britain, CT 06053-3920 | 2013-02-09 |
| City | BRIDGEPORT |
| Zip Code | 06605 |
Please comment or provide details below to improve the information on GOODWILL INDUSTRIES OF WESTERN CONNECTICUT, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.