SOUTH-WEST COMMUNITY HEALTH CENTER, INC – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1699703686
Mental Health Clinic/Center (Including Community Mental Health Center)
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SOUTH-WEST COMMUNITY HEALTH CENTER, INC
968 Fairfield Ave
Bridgeport, CT 066051116
Phone: (203) 332-3535
Fax: (203) 334-0395
Type: Location
968, Fairfield Avenue, Bridgeport, Fairfield County, Connecticut, 06605, United States
BRIDGEPORT, CT 066051116
Phone: (203) 330-6000
Fax: (203) 334-0395
Type: Mailing
46 ALBION ST
BRIDGEPORT, CT 066052602
Phone: (203) 330-6000
Fax: (203) 382-1436
Type: Mailing
46, Albion Street, Black Rock, Bridgeport, Fairfield County, Connecticut, 06605, United States
BRIDGEPORT, CT 066052602
Phone: (203) 330-6000
Fax: (203) 330-6008
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-02-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-06-30 (19 days away).
Enrollment records
11
Earliest due date
2026-06-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040406001798 | O | Federally Qualified Health Center (Fqhc) | CT | TBD |
| O20040420001098 | O | Clinic/Group Practice | CT | TBD |
| O20070828000849 | O | Federally Qualified Health Center (Fqhc) | CT | TBD |
| O20131231001429 | O | Federally Qualified Health Center (Fqhc) | CT | TBD |
| O20140424000129 | O | Federally Qualified Health Center (Fqhc) | CT | TBD |
| O20180425000488 | O | Federally Qualified Health Center (Fqhc) | CT | TBD |
| O20210506002439 | O | Federally Qualified Health Center (Fqhc) | CT | 2026-06-30 |
| O20220624000418 | O | Federally Qualified Health Center (Fqhc) | CT | TBD |
| O20231213001482 | O | Federally Qualified Health Center (Fqhc) | CT | TBD |
| O20240814003125 | O | Federally Qualified Health Center (Fqhc) | CT | TBD |
| O20250221001818 | O | Federally Qualified Health Center (Fqhc) | CT | TBD |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06605)
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