SOUTHWEST COMMUNITY HEALTH CENTER (NPI# 1528269131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528269131 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST COMMUNITY HEALTH CENTER |
| Practice Address |
46 Albion St Bridgeport CT 06605-2602 |
| Practice Telephone | 2033306000 |
| Mailing Telephone | 2033306000 |
| Mailing Fax Number | 2033306008 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2019-05-23 |
| Authorized Official Name | MS. NAILA HAROON (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 2033306000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
0032 | CT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004236122 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 968 Fairfield Ave, Bridgeport, CT 066051116 | 2033306000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043618309 | Southwest Community Health Center | Voluntary or Charitable | 5705 W 65th St, Suite C, Little Rock, AR 72209-3827 | 2014-12-18 |
| 1407307119 | Southwest Community Health Center | Counselor | 1046 Fairfield Ave, Bridgeport, CT 06605 | 2016-10-18 |
| 1821480989 | Southwest Community Health Center | Voluntary or Charitable | 7754 Sw Capitol Hwy, Portland, OR 97219-2477 | 2015-02-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTHWEST COMMUNITY HEALTH CENTER | 7754 Sw Capitol Hwy, Portland, OR 97219-2477 |
| Oregon Corporations, Companies and Business Names | SOUTHWEST COMMUNITY HEALTH CENTER | 7754 Sw Capitol Hwy, Portland, OR 97219 |
| Connecticut Business Registrations | SOUTHWEST COMMUNITY HEALTH CENTER, INC. | 46 Albion Street, Bridgeport, CT 06605 |
| Street Address |
46 ALBION ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06605-2602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801898804 | Jose A Camacho-pantoja | Psychiatry & Neurology | 46 Albion St, Southwest Community Health Center, Inc, Bridgeport, CT 06605-2602 | 2005-08-10 |
| 1790302933 | Kelly Yorio | Nurse Practitioner | 46 Albion St, Bridgeport, CT 06605-2602 | 2020-07-04 |
| 1316564396 | Catherine Marie Howe | Registered Nurse | 46 Albion St, Bridgeport, CT 06605-2602 | 2020-06-25 |
| 1275178261 | Anna Marie Washington | Social Worker | 46 Albion St, Bridgeport, CT 06605-2602 | 2019-11-13 |
| 1144876608 | Jessie Gay | Nurse Practitioner | 46 Albion St, Bridgeport, CT 06605-2602 | 2019-08-12 |
| 1881248136 | Ntohmabi Ndingwan | Nurse Practitioner | 46 Albion St, Bridgeport, CT 06605-2602 | 2019-07-25 |
| 1548813090 | Nikki Marie Carino | Nurse Practitioner | 46 Albion St, Bridgeport, CT 06605-2602 | 2019-07-23 |
| 1235790296 | Hudson I Hector | Dental Hygienist | 46 Albion St, Bridgeport, CT 06605-2602 | 2019-06-20 |
| 1235603044 | Katherine Esaw | Social Worker | 46 Albion St, Bridgeport, CT 06605-2602 | 2019-01-15 |
| 1013484088 | Samantha Mraz | Nurse Practitioner | 46 Albion St, Bridgeport, CT 06605-2602 | 2018-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497312276 | Stacy-ann Thompson-grant | Social Worker | 170 Bennet T Street, Bridgeport, CT 06605 | 2019-05-28 |
| 1720502149 | Sheree Amankwah | Counselor | 170 Bennett Street, Bridgeport, CT 06605 | 2017-07-27 |
| 1417477324 | Aracelis Robertson | Case Manager/Care Coordinator | 1646 Fairfield Avenue, 3rd Floor, Bridgeport, CT 06605 | 2017-06-21 |
| 1699158170 | Cortney Davis | Physician Assistant | 3250 Fairfield Ave, Unit 217, Bridgeport, CT 06605 | 2015-07-02 |
| 1083020051 | Douglas Mccoy | Nurse Practitioner | 46 Albion St., Bridgeport, CT 06605 | 2014-07-10 |
| 1932513785 | Hallie Claire Riggs | Social Worker | 1730 State St Ext, Bridgeport, CT 06605 | 2014-06-19 |
| 1831518513 | Yvonne Booy | Counselor | 46 Albion Street, Bridgeport, CT 06605 | 2014-04-10 |
| 1760556955 | Joel W Allen | Obstetrics & Gynecology | 625 Clinton Ave, Bridgeport, CT 06605 | 2006-11-20 |
| 1316046428 | Allen P Schlein | Orthopaedic Surgery | 650 Clinten Avenue, Bridgeport, CT 06605 | 2006-09-22 |
| 1336127984 | Hancock Pharmacy | Pharmacy | 1557 Fairfield Ave, Bridgeport, CT 06605 | 2006-01-04 |
| Find all providers in zip 06605 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174046122 | Rominger Dental | Clinic/Center | 20 Shaner Dr Ste 108, Bridgeport, WV 26330-2506 | 2017-07-21 |
| 1376941013 | K&h Dental Pa | Clinic/Center | 1808 Chico Highway, Bridgeport, TX 76426 | 2014-12-11 |
| 1205253176 | Family Health Centers | Clinic/Center | 1015 Columbia, Bridgeport, WA 98813 | 2014-03-27 |
| 1821503210 | Mgm Family Dental | Clinic/Center | 2690 E Main St, Bridgeport, CT 06610-1422 | 2017-12-06 |
| 1295126209 | All Kids Dental LLC | Clinic/Center | 2566 Main St, Bridgeport, CT 06606-5302 | 2015-02-12 |
| 1972907012 | Optimus Healthcare | Clinic/Center | 982 E Main St, Dental Department, Bridgeport, CT 06608-1913 | 2014-10-17 |
| 1952426330 | City of Bridgeport Department of Health | Clinic/Center | 752 E Main St, Bridgeport, CT 06608-2335 | 2007-03-21 |
| 1457493728 | University of Bridgeport | Clinic/Center | 60 Lafayette St, Bridgeport, CT 06604-7719 | 2007-02-13 |
| 1669548376 | Optimus Health Care | Clinic/Center | 471 Barnum Ave, Bridgeport, CT 06608-2409 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674728 | North Main Dental Group LLC | Clinic/Center | 225 N Main St Ste 210, Bristol, CT 06010-4993 | 2020-09-22 |
| 1790397776 | Best Way Dental Services, LLC | Clinic/Center | 886 Main St Ste B, Willimantic, CT 06226-2340 | 2020-08-20 |
| 1194357418 | Bolton Lake Dental LLC | Clinic/Center | 1120 Boston Tpke, Bolton, CT 06043-7439 | 2020-02-05 |
| 1124669924 | Dental Essentials of Rocky Hill | Clinic/Center | 2301 Silas Deane Hwy # 2, Rocky Hill, CT 06067-2330 | 2019-10-02 |
| 1730736216 | Pearl Dental of Trumbull, Pllc | Clinic/Center | 140 Monroe Tpke Unit C, Trumbull, CT 06611-1357 | 2019-08-20 |
| 1134774953 | Ezra Friedman Dds | Clinic/Center | 464 Wolcott Rd Ste 2, Wolcott, CT 06716-2626 | 2019-08-08 |
| 1790343051 | Madison Dental Spa | Clinic/Center | 90 Wall St Ste 100, Madison, CT 06443-3128 | 2019-06-03 |
| 1730644212 | Resolute Cross Road LLC | Clinic/Center | 112 Cross Rd, Waterford, CT 06385-1204 | 2019-02-08 |
| 1861966954 | James S Bauer Dmd Incorporated | Clinic/Center | 40 Main St N Ste E, Woodbury, CT 06798-2966 | 2019-01-11 |
| 1821568650 | Parkway Dental Np LLC | Clinic/Center | 1869 Dixwell Ave Ste 4, Hamden, CT 06514-3145 | 2018-12-05 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 06605 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.