HENRIETTA JOHNSON MEDICAL CENTER
NPI 1639417280
Clinic/Center - Federally Qualified Health Center (FQHC) in Wilmington, DE

Q: What is Southbridge Medical Advisory Council Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since January 16, 2013CLIA 08D0865593 · Microscopy

600 N LOMBARD ST, WILMINGTON, DE 19801(302) 761-4610(302) 655-6606 Get Directions Write a Review

NPPES record last updated: January 16, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Henrietta Johnson Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HENRIETTA JOHNSON MEDICAL CENTER (NPI 1639417280) is a healthcare organization registered as a federally qualified health center (fqhc) in Wilmington, Delaware and active in the NPI registry since January 2013. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Rosa Rivera, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1639417280

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSOUTHBRIDGE MEDICAL ADVISORY COUNCIL INC

Location Address600 N LOMBARD STWilmington, DE 19801-4429

Mailing Address601 New Castle AveWilmington, DE 19801-5821 · (302) 655-6187 · Fax (302) 655-6606

Phone(302) 761-4610

Fax(302) 655-6606

Organization SubpartYes

Authorized OfficialRosa RiveraChief Executive Officer · (302) 427-9696

Enumeration DateJanuary 16, 2013

✔ NPI 1639417280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedDentistTaxonomy 122300000X

600 N LOMBARD ST, Wilmington, DE 19801

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Other Names 1

Doing Business AsHenrietta Johnson Medical Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 08D0865593

Henrietta Johnson Medical Center · Wilmington, DE

Active · expires Aug 31, 2026

CLIA Number08D0865593

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorDr. Yvette Gbemudu

Laboratory Phone(302) 655-6187

Laboratory LocationHenrietta Johnson Medical Center601 New Castle Avenue, Wilmington, DE 19801

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STATE OF DELAWARE

Local Education Agency (LEA)

600 N LOMBARD ST
WILMINGTON, DE 19801

New Castle County (302) 552-2600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southbridge Medical Advisory Council Inc's NPI number?

The NPI number for Southbridge Medical Advisory Council Inc is 1639417280. It was assigned to this organization in the NPPES registry on January 16, 2013. The provider is doing business as Henrietta Johnson Medical Center.

Where is Southbridge Medical Advisory Council Inc located?

Southbridge Medical Advisory Council Inc is located at 600 N Lombard St, Wilmington, DE 19801. The listed phone number is (302) 761-4610.

What is Southbridge Medical Advisory Council Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Southbridge Medical Advisory Council Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 08D0865593) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southbridge Medical Advisory Council Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Southbridge Medical Advisory Council Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southbridge Medical Advisory Council Inc was last updated on January 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.