Organization
SOUTHWEST COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MOLLIE L MELBOURNE (PRESIDENT/CEO)
(203) 330-6000
Entity
Organization
Contact information
Practice address
46 ALBION ST, BRIDGEPORT, CT 06605-2602
(203) 330-6000
Mailing address
46 ALBION ST, BRIDGEPORT, CT 06605-2602
(203) 330-6000
(203) 330-6008
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0032
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236122
—
CT
Enumeration date
05/30/2007
Last updated
12/12/2024
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