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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 Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

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

NPI # 1760874549
LBN Legal business name SOUTHBRIDGE MEDICAL ADVISORY COUNCIL, INC.
Authorized official NACHET SCOTT - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/03/2015
Last updated 05/21/2019 - About 7 years ago
Identifiers
DE Other 440009 MEDICARE PROVIDER TRANSACTION ACCESS NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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