National Provider Identifier Database

SOUTHBRIDGE MEDICAL ADVISORY COUNCIL INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

SOUTHBRIDGE MEDICAL ADVISORY COUNCIL, INC.
2722 PHILADELPHIA PIKE
CLAYMONT, DE19703-2568
Phone: 302-655-6187
Fax: 302-798-2473
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for SOUTHBRIDGE MEDICAL ADVISORY COUNCIL, INC.

NPI Number 1760874549
Legal business name
LBN
SOUTHBRIDGE MEDICAL ADVISORY COUNCIL, INC.
Authorized official NACHET SCOTT - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 03/03/2015
Last updated 05/21/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • DE Other: 440009 MEDICARE PROVIDER TRANSACTION ACCESS NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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