| South- West Community Health Center, Inc | |
|
1046 Fairfield Ave Bridgeport CT 06605-1116 | |
| (203) 330-6000 | |
| (203) 331-4716 |
| Full Name | South- West Community Health Center, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1046 Fairfield Ave, Bridgeport, Connecticut |
| Authorized Official Name and Position | Naila Haroon (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2033323564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South- West Community Health Center, Inc 46 Albion St Bridgeport CT 06605-2602 Ph: (203) 330-6000 | South- West Community Health Center, Inc 1046 Fairfield Ave Bridgeport CT 06605-1116 Ph: (203) 330-6000 |
| NPI Number | 1023675873 |
|---|---|
| Provider Enumeration Date | 05/28/2019 |
| Last Update Date | 05/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023675873 | NPI | - | NPPES |
| 004236148 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Amy Mester Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 82 Old Battery Rd, Bridgeport, CT 06605 Phone: 914-772-0440 | |
The Child And Family Guidance Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 Fairfield Ave, Bridgeport, CT 06604 Phone: 203-394-6529 | |
Nova Vita Health Services Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3180 Main St, Bridgeport, CT 06606 Phone: 203-870-1616 Fax: 203-870-1615 | |
Embrace Your Path, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4270 Main St, Bridgeport, CT 06606 Phone: 203-301-8852 Fax: 203-301-8852 | |
Northeast Medical Group, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 226 Mill Hill Avenue, 3rd Flr, Bridgeport, CT 06610 Phone: 203-384-3975 Fax: 203-384-3829 | |
Eprine Community Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 Barnum Ave Ste 202, Bridgeport, CT 06610 Phone: 718-255-5946 |