HENRIETTA JOHNSON MEDICAL CENTER
NPI 1770699621
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 August 22, 2006

601 NEW CASTLE AVE, WILMINGTON, DE 19801(302) 655-6187(302) 655-6606 Get Directions Write a Review

NPPES record last updated: January 16, 2013. Verified against the NPPES registry weekly; last sync: August 16, 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 1770699621) is a healthcare organization registered as a federally qualified health center (fqhc) in Wilmington, Delaware and active in the NPI registry since August 2006. The organization lists Rosa V Rivera, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1770699621

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSOUTHBRIDGE MEDICAL ADVISORY COUNCIL INC

Location Address601 NEW CASTLE AVEWilmington, DE 19801

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

Phone(302) 655-6187

Fax(302) 655-6606

Organization SubpartNo

Authorized OfficialRosa V RiveraChief Executive Officer · (302) 655-6187

Enumeration DateAugust 22, 2006

Last NPPES UpdateJanuary 16, 2013

✔ NPI 1770699621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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

Taxonomy Code261QF0400X

Also ListedDentistTaxonomy 122300000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X

601 NEW CASTLE AVE, Wilmington, DE 19801

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Other Names 1

Doing Business AsHenrietta Johnson Medical Center

Other Identifiers 3

Medicare ID-Type Unspecified081801

Medicaid0000332866DE

Other458117Trail Blazer

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 ›

Other Providers at the Same Location NPPES 16

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

DR. ZITA AQUINO D.M.D.

Dentist (General Practice)

601 NEW CASTLE AVE, DENTAL CLINIC
WILMINGTON, DE 19801

New Castle County (302) 655-6187

DR. JUSTIN BATCHELLER DMD

Dentist