South-West Community Health Center, INC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Bridgeport, Connecticut
1699703686- Practice location
- 46 Albion St, Bridgeport, CT 06605-2602
- Phone
- 203-330-6000
- Fax
- 203-330-6008
- Last updated
- April 28, 2022
South-West Community Health Center, INC is a healthcare organization based in Bridgeport, CT. South-West Community Health Center, INC practices in Bridgeport, CT. The NPI Number for South-West Community Health Center, INC is 1699703686 and holds a License No. 0032 (CT). The current practice location address for South-West Community Health Center, INC is 46 Albion St, Bridgeport, CT 06605-2602 and can be reached out via phone at 203-330-6000 and via fax at 203-330-6008.
Provider Profile Details
- NPI Number
- 1699703686
- Provider Name
- South-West Community Health Center, INC
- Provider Entity Type
- Organization
- Address
- 46 Albion St, Bridgeport, CT 06605-2602
- Phone Number
- 203-330-6000
- Fax Number
- 203-330-6008
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Mollie Melbourne · President Ceo · 203-332-3501
- Provider Enumeration Date
- June 29, 2006
- Last Update Date
- April 28, 2022
- Certification Date
- April 28, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 46 Albion St
Bridgeport, CT 06605-2602 - City
- Bridgeport
- State
- Connecticut
- Zip
- 06605-2602
- Phone Number
- 203-330-6000
- Fax Number
- 203-330-6008
Provider Business Mailing Address Details
- Address
- 46 Albion St
Bridgeport, CT 06605-2602 - City
- Bridgeport
- State
- CT
- Zip
- 06605-2602
- Phone Number
- 203-330-6000
- Fax Number
- 203-382-1436
License Information
- License Number (1)
- 0032
- License State (1)
- CT
- Taxonomy (1)
- Obstetrics & Gynecology, Gynecology · 207VG0400X
- License Number (2)
- 0454
- License State (2)
- CT
- Taxonomy (2)
- Obstetrics & Gynecology, Gynecology · 207VG0400X
- License Number (3)
- 0454
- License State (3)
- CT
- Taxonomy (3)
- Obstetrics & Gynecology, Obstetrics · 207VX0000X
- License Number (4)
- 0032
- License State (4)
- CT
- Taxonomy (4)
- Clinic/Center, Federally Qualified Health Center (FQHC) · 261QF0400X
- License Number (5)
- 0032
- License State (5)
- CT
- Taxonomy (5)
- Obstetrics & Gynecology, Obstetrics · 207VX0000X
- License Number (6)
- 0032
- License State (6)
- CT
- Taxonomy (6)
- Clinic/Center, Primary Care · 261QP2300X
- License Number (7)
- 0454
- License State (7)
- CT
- Taxonomy (7)
- Clinic/Center, Primary Care · 261QP2300X
- Taxonomy (8)
- Clinic/Center, Primary Care · 261QP2300X
- License Number (9)
- 0032
- License State (9)
- CT
- Taxonomy (9)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of South-West Community Health Center, INC?
The NPI number of South-West Community Health Center, INC is 1699703686. It was assigned on June 29, 2006 and is currently active in the NPPES registry.
What is the specialty of South-West Community Health Center, INC?
South-West Community Health Center, INC is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X), licensed in CT under license number 0032.
Where does South-West Community Health Center, INC practice?
The practice location is 46 Albion St, Bridgeport, CT 06605-2602. The office can be reached at 203-330-6000 (phone) or 203-330-6008 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699703686 directly on the NPPES registry website.