# SOUTHWEST COMMUNITY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528269131
- **Authorized official:** MS. MOLLIE L MELBOURNE (PRESIDENT/CEO)
- **Authorized official phone:** (203) 330-6000

## Contact information

- **Practice address:** 46 ALBION ST, BRIDGEPORT, CT 06605-2602
- **Practice address phone:** (203) 330-6000
- **Mailing address:** 46 ALBION ST, BRIDGEPORT, CT 06605-2602
- **Mailing address phone:** (203) 330-6000
- **Mailing address fax:** (203) 330-6008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 0032 | CT | Yes |

## Other

- **Enumeration date:** 05/30/2007
- **Last updated:** 12/12/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004236122 | — | CT |