SOUTH- WEST COMMUNITY HEALTH CENTER, INC


Address: 46 Albion St, Bridgeport, CT 06605-2602
Phone: 2033306000

SOUTH- WEST COMMUNITY HEALTH CENTER, INC (NPI# 1699703686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699703686
Entity Type Organization
Organization Name SOUTH- WEST COMMUNITY HEALTH CENTER, INC
Practice Address 46 Albion St
Bridgeport
CT 06605-2602
Mailing Address 968 Fairfield Ave
Bridgeport
CT 06605-1116
Practice Telephone 2033306000
Practice Fax Number 2033306008
Mailing Telephone 2033306000
Mailing Fax Number 2033340395
Enumeration Date 2006-06-29
Last Update Date 2018-04-24
Authorized Official Name KATHERINE YACAVONE (PRESIDENT CEO)
Authorized Official Telephone 2033323501
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
0032 CT Ambulatory Health Care Facilities
N 207VX0000X Obstetrics & Gynecology
Specialization: Obstetrics
0032 CT Allopathic & Osteopathic Physicians
N 207VX0000X Obstetrics & Gynecology
Specialization: Obstetrics
0454 CT Allopathic & Osteopathic Physicians
N 207VG0400X Obstetrics & Gynecology
Specialization: Gynecology
0032 CT Allopathic & Osteopathic Physicians
N 207VG0400X Obstetrics & Gynecology
Specialization: Gynecology
0454 CT Allopathic & Osteopathic Physicians
N 261QP2300X Clinic/Center
Specialization: Primary Care
0032 CT Ambulatory Health Care Facilities
N 261QP2300X Clinic/Center
Specialization: Primary Care
0454 CT Ambulatory Health Care Facilities
N 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
0032 CT Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CT 004236122 05
CT 004236148 05
CT 004236130 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
968 Fairfield Ave, Bridgeport, CT 066051116 2033323535 2033340395

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1023675873 South- West Community Health Center, Inc Clinic/Center 1046 Fairfield Ave, Bridgeport, CT 06605-1116 2019-05-28

Office Location

Street Address 46 ALBION ST
City BRIDGEPORT
State CT
Zip Code 06605-2602

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1073169835 Great Lakes Bay Health Centers Clinic/Center 4691 Bearcat Blvd, Bridgeport, MI 48722-9581 2019-08-16
1700252764 Community Care of West Virginia, Inc. Clinic/Center 250 Worthington Dr, Bridgeport, WV 26330-1449 2015-08-13
1669868931 Community Care of West Virginia, Inc. Clinic/Center 413 Johnson Ave, Bridgeport, WV 26330-1309 2015-04-13
1326434846 Community Care of West Virginia, Inc. Clinic/Center 515 Johnston Avenue, Bridgeport, WV 26330-1311 2015-04-10
1912392358 Community Care of West Virginia, Inc. Clinic/Center 531 Johnson Ave, Bridgeport, WV 26330-1311 2015-04-02
1497176390 Family Health Centers Clinic/Center 1015 Columbia Ave, Bridgeport, WA 98813 2013-12-18
1235485236 Optimus Health Care Inc Clinic/Center 3180 Main St Ste G1, Bridgeport, CT 06606-4237 2012-07-27
1346516317 Optimus Health Care Inc Clinic/Center 1071 E Main St, Bridgeport, CT 06608-1618 2012-03-23
1619348844 Community Care of West Virginia, Inc. Clinic/Center 65 Professional Pl Ste 102103, Bridgeport, WV 26330-0258 2015-10-14
1659641363 Optimus Health Care Inc Clinic/Center 982 E Main St, Bridgeport, CT 06608-1913 2012-01-11
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Competitor

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City BRIDGEPORT
Zip Code 06605

Improve Information

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Dataset Information

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.

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