Henrietta Johnson Medical Center

LBN: Southbridge Medical Advisory Council Inc
Henrietta Johnson Medical Center is an health care organization with primary practice located at 600 N Lombard St , Wilmington DE 19801-4429. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Southbridge Medical Advisory Council Inc can be contacted via phone (302) 761-4610, or through Rivera, Rosa via phone (302) 427-9696.

Contact Information

Primary practice address
600 N Lombard St Wilmington DE 19801-4429
Phone: (302) 761-4610
Fax: (302) 655-6606
Website:
Map and Directions
Authorized official contact:
Name: Rivera, Rosa
Phone: (302) 427-9696

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1639417280
LBN Legal business name Southbridge Medical Advisory Council Inc
DBA Doing business as Henrietta Johnson Medical Center
Authorized official Rivera, Rosa
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 16th, 2013
Last updated Jan 16th, 2013 - about 11 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.

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