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Southbridge Medical Advisory Council Inc

Federally Qualified Health Center (FQHC) in Wilmington, DE · enumerated 2006 · authorized official Rosa Rivera, Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1770699621

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Registry record

Entity type Organization (Type 2)
Legal business name Southbridge Medical Advisory Council Inc
Other name <Unavail>
Practice address 601 New Castle Ave, Wilmington, DE, 19801
Phone (302) 655-6187
Fax (302) 655-6606
Enumeration date Aug 22, 2006
Last updated in NPPES Jan 16, 2013

Taxonomy & classification

122300000X Dentist Dental Providers Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207VG0400X Gynecology Physician Allopathic & Osteopathic Physicians Secondary
261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary

Authorized official

Name Rosa Rivera
Title Chief Executive Officer
Phone (302) 655-6187

Other identifiers

Identifier Type State Issuer
458117 Other - TRAIL BLAZER
0000332866 Medicaid DE -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Southbridge Medical Advisory Council Inc?
NPPES lists Rosa Rivera (Chief Executive Officer) as the authorized official for this organization.
What is the NPI number for Southbridge Medical Advisory Council Inc?
The NPI for Southbridge Medical Advisory Council Inc is 1770699621, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-01-16.