Organization · Type 2 NPI

Southbridge Medical Advisory Council, Inc.

Federally Qualified Health Center (FQHC) · Claymont, DE

NPI number 1760874549 Active

Practice location

2722 Philadelphia Pike
Claymont, DE 19703-2568

Fax (302) 798-2473

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

NPI record

NPI: 1760874549
Entity type: Organization (Type 2)
Issued: Mar 3, 2015
Last updated: May 21, 2019
Status: Active
Subpart: Yes of Southbridge Medical Advisory Council, Inc.

Other names

<unavail>
Henrietta Johnson Medical Center Claymont · doing business as
Henrietta Johnson Medical Center Claymont · doing business as

Authorized official

Ms. Nachet Scott
CEO
(026) 593-0773

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1760874549

Southbridge Medical Advisory Council, Inc.'s National Provider Identifier is 1760874549, issued on Mar 3, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Claymont, DE. The record was last updated on May 21, 2019.