Southbridge Medical Advisory Council Inc
NPI 1639417280 · Federally Qualified Health Center (FQHC) · Wilmington, DE
Southbridge Medical Advisory Council Inc is a Federally Qualified Health Center (FQHC) organization in Wilmington, DE (NPI 1639417280).
Provider details
- NPI number
- 1639417280
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Southbridge Medical Advisory Council Inc
- Organization subpart
- Yes
- Authorized official
- Rosa Rivera, Chief Executive Officer(302) 427-9696
Specialties & taxonomies
Ambulatory Health Care Facilities
- Dentist122300000X
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Henrietta Johnson Medical Center
Registry dates
- Enumerated
- 2013-01-16
- Last updated
- 2013-01-16
Frequently asked questions
- What is Southbridge Medical Advisory Council Inc's NPI number?
- Southbridge Medical Advisory Council Inc's National Provider Identifier (NPI) is 1639417280, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southbridge Medical Advisory Council Inc?
- Southbridge Medical Advisory Council Inc is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Southbridge Medical Advisory Council Inc located?
- Southbridge Medical Advisory Council Inc's practice location on file with NPPES is 600 N Lombard St, Wilmington, DE 19801-4429.
- What is Southbridge Medical Advisory Council Inc's phone number?
- The practice phone number listed in the NPPES registry for Southbridge Medical Advisory Council Inc is (302) 761-4610.
- Who is the authorized official for Southbridge Medical Advisory Council Inc?
- The authorized official listed on Southbridge Medical Advisory Council Inc's NPPES record is Rosa Rivera, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southbridge Medical Advisory Council Inc's NPI active?
- Yes — Southbridge Medical Advisory Council Inc's NPI (1639417280) is active in the NPPES registry as of the last update on 2013-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.