South-West Community Health Center, Inc
LBN: South-West Community Health Center, Inc
South-West Community Health Center, Inc is an health care organization with primary practice located at 46 Albion St , Bridgeport CT 06605-2602. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
South-West Community Health Center, Inc can be contacted via phone (203) 330-6000, or through Melbourne, Mollie via phone (203) 332-3501.
Contact Information
Primary practice address
46 Albion St
Bridgeport CT 06605-2602
Phone: (203) 330-6000
Fax: (203) 330-6008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 0032 | Connecticut |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 0454 | Connecticut |
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 0032 | Connecticut |
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 0454 | Connecticut |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 0032 | Connecticut |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 0032 | Connecticut |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 0032 | Connecticut |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 0454 | Connecticut |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1699703686 |
|---|---|
| LBN Legal business name | South-West Community Health Center, Inc |
| DBA Doing business as | |
| Authorized official | Melbourne, Mollie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Apr 28th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699703686 | NPPES |
| Connecticut | MEDICAID | 004236148 | |
| Connecticut | MEDICAID | 004236122 | |
| Connecticut | MEDICAID | 004236130 |
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