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SOUTHWEST COMMUNITY SERVICES, INC.
NPI 1730432733
Clinic/Center - Mental Health (Including Community Mental Health Center) in South Holland, IL

Active since October 16, 2012
58 W 162ND ST, SOUTH HOLLAND, IL 60473(708) 825-1986 Get Directions Write a Review

NPPES record last updated: October 16, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Southwest Community Services, Inc. NPPES

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

SOUTHWEST COMMUNITY SERVICES, INC. (NPI 1730432733) is a healthcare organization registered as a mental health (including community mental health center) in South Holland, Illinois and active in the NPI registry since October 2012. The organization lists Mary Pat Ambrosino, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1730432733
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSOUTHWEST COMMUNITY SERVICES, INC.
Location Address58 W 162ND STSouth Holland, IL 60473-2061
Mailing Address6775 Prosperi DrTinley Park, IL 60477-4789 · (708) 429-1260 · Fax (708) 429-9107
Phone(708) 825-1986
Organization SubpartNo
Authorized OfficialMary Pat AmbrosinoExecutive Director · (708) 429-1260
Enumeration DateOctober 16, 2012
✔ NPI 1730432733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in IL · 04128
58 W 162ND ST, South Holland, IL 60473
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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 of Waiver 14D2246655

Southwest Urgent Care · Tinley Park, IL
Expired · Dec 27, 2025
CLIA Number14D2246655
Laboratory TypeUrgent Care
Certificate Effective DateDecember 28, 2023
Certificate Expiration DateDecember 27, 2025
Laboratory DirectorHamdi Khilfeh
Laboratory Phone(708) 535-3300
Laboratory LocationSouthwest Urgent Care7460 Duvan Dr, Tinley Park, IL 60477
This certificate is issued to a laboratory to perform only 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.

SOUTHWEST COMMUNITY SERVICES, INC.
Non-emergency Medical Transport (VAN)
58 W 162ND ST
SOUTH HOLLAND, IL 60473
Cook County (708) 825-1986

Frequently Asked Questions

What is SOUTHWEST COMMUNITY SERVICES, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1730432733, enumerated as an "organization" on October 16, 2012.

Where is the provider located?

The provider is located at 58 W 162ND ST SOUTH HOLLAND, IL 60473 and the phone number is (708) 825-1986.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).