Southbridge Medical Advisory Council Inc
NPI 1770699621 · Federally Qualified Health Center (FQHC) · Wilmington, DE
Provider details
- NPI number
- 1770699621
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rosa Rivera, Chief Executive Officer(302) 655-6187
Specialties & taxonomies
Ambulatory Health Care Facilities
- Dentist122300000X
Dental Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Gynecology Physician207VG0400X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2006-08-22
- 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.