| Southwest Community Health Center | |
|
46 Albion St Bridgeport CT 06605-2602 | |
| (203) 330-6000 | |
| Not Available |
| Full Name | Southwest Community Health Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 46 Albion St, Bridgeport, Connecticut |
| Authorized Official Name and Position | Naila Haroon (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2033306000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Community Health Center 46 Albion St Bridgeport CT 06605-2602 Ph: (203) 330-6000 | Southwest Community Health Center 46 Albion St Bridgeport CT 06605-2602 Ph: (203) 330-6000 |
| NPI Number | 1528269131 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 05/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528269131 | NPI | - | NPPES |
| 004236122 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0032 (Connecticut) | Primary |
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