Park City Primary Care Center – Federally Qualified Health Center (FQHC), NPI 1932479409

Federally Qualified Health Center (FQHC)

Park City Primary Care Center is a healthcare provider. based in Bridgeport, Connecticut. specializing in Federally Qualified Health Center (FQHC). The organization holds a License No. 0388 (CT). The NPI Number for Park City Primary Care Center is 1932479409

Main info

Organization

Name

Park City Primary Care Center

NPI

1932479409

Phone

(203) 579-5000

Address

64 BLACK ROCK AVE

Authorized Official

LUDWIG SPINELLI CHIEF EXECUTIVE OFFICER

Enumeration Date

30 December 2011

Last Update Date

30 December 2011

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience42

Completeness80

Years active:14State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Park City Primary Care Center

64 BLACK ROCK AVE
BRIDGEPORT, CT 066051200
Phone: (203) 579-5000
Fax: (203) 332-0376
Type: Location
982 E MAIN ST
BRIDGEPORT, CT 066081913
Phone: (203) 696-3260
Fax: (203) 332-0376
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06605)

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Reviews

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Frequently asked questions

How do I look up Park City Primary Care Center by NPI?

Use NPI 1932479409 when you need to reference Park City Primary Care Center in forms, claims, or directories.

Is Park City Primary Care Center's NPI currently valid?

The extract we use shows Park City Primary Care Center as active.

Can you summarize Park City Primary Care Center's specialty in plain language?

Clinically, the directory lists Park City Primary Care Center with Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.

What location metadata exists for Park City Primary Care Center?

The page summarizes Bridgeport, Connecticut for Park City Primary Care Center; expand the address list for detail.

Is this NPI for an individual or an organization?

This listing corresponds to an Organization.