SOUTH-WEST COMMUNITY HEALTH CENTER INC NPI 1699703686

NPI Information

NPI: 1699703686
Provider Name: SOUTH-WEST COMMUNITY HEALTH CENTER, INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
46 ALBION ST
BRIDGEPORT, CT
ZIP 06605
Phone: (203) 330-6000
Get Directions

SOUTH-WEST COMMUNITY HEALTH CENTER, INC is a mental health (including community mental health center) clinic center in Bridgeport, CT. SOUTH-WEST COMMUNITY HEALTH CENTER, INC NPI is 1699703686. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

46 ALBION ST
BRIDGEPORT, CT
ZIP 06605-602
Phone: (203) 330-6000
Fax: (203) 330-6008

The provider's authorized official is Mollie Melbourne .
The authorized official title is President Ceo and has the following contact phone number (203) 332-3501.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 4/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology	0032	CONNECTICUT	No
2	207VG0400X	Obstetrics & Gynecology	Gynecology	0454	CONNECTICUT	No
3	207VX0000X	Obstetrics & Gynecology	Obstetrics	0454	CONNECTICUT	No
4	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	0032	CONNECTICUT	No
5	207VX0000X	Obstetrics & Gynecology	Obstetrics	0032	CONNECTICUT	No
6	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	0032	CONNECTICUT	Yes
7	261QP2300X	Clinic/Center	Primary Care			No
8	261QP2300X	Clinic/Center	Primary Care	0032	CONNECTICUT	No
9	261QP2300X	Clinic/Center	Primary Care	0454	CONNECTICUT	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	004236130	MEDICAID	CONNECTICUT
2	004236148	MEDICAID	CONNECTICUT
3	004236122	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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