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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 004236122 | 05 | |
CT | 004236148 | 05 | |
CT | 004236130 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
968 Fairfield Ave, Bridgeport, CT 066051116 | 2033323535 | 2033340395 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023675873 | South- West Community Health Center, Inc | Clinic/Center | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2019-05-28 |
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 | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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Find all providers in BRIDGEPORT |
City | BRIDGEPORT |
Zip Code | 06605 |
Please comment or provide details below to improve the information on SOUTH- WEST COMMUNITY HEALTH CENTER, INC.
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.