OrganizationActive
Southbridge Medical Advisory Council Inc
NPI 1639417280 · Federally Qualified Health Center (FQHC) · Wilmington, DE
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
Practice location
600 N Lombard St
Wilmington, DE 19801-4429
Phone: (302) 761-4610
Fax: (302) 655-6606
Approximate (ZIP-level) locationGet directions
Mailing address
601 New Castle Ave
Wilmington, DE 19801-5821
Other names (DBA / former)
- Doing business as
- Henrietta Johnson Medical Center
Registry dates
- Enumerated
- 2013-01-16
- Last updated
- 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.