SOUTHWEST COMMUNITY HEALTH CENTER NPI 1528269131

NPI Information

  • NPI: 1528269131
  • Provider Name: SOUTHWEST COMMUNITY HEALTH CENTER
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 46 ALBION ST
    BRIDGEPORT, CT
    ZIP 06605
  • Phone: (203) 330-6000

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NPI Details

SOUTHWEST COMMUNITY HEALTH CENTER is a dental clinic center in Bridgeport, CT. SOUTHWEST COMMUNITY HEALTH CENTER NPI is 1528269131. The provider is registered as an organization entity type.

The provider's business location address is:

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

The provider's authorized official is Mollie L Melbourne .
The authorized official title is President/ceo and has the following contact phone number (203) 330-6000.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 12/12/2024.

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
1261QD0000XClinic/CenterDental0032CONNECTICUTYes

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 Other Provider Identifier Issuer
1004236122MEDICAIDCONNECTICUT

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: 3/30/2025

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