Covered Entity Details

CH01081Q Southwest Community Health Center, Inc. (Active)

Main Details

Name

Southwest Community Health Center, Inc.

Subdivision Name

Bassick High School, School Based Health Clinic

Type

HRSA-Funded Health Center

Site ID

BPS-H80-008145

340B ID

CH01081Q

Grant Number

H80CS00613

Additional Details

Current Program Status

Active

Registration Date

4/5/2019

Participating Start Date

4/11/2019

Participating Approval Date

4/10/2019

Last Recertification Date

2/10/2025

Contacts

Authorizing Official

South-West Community Health Center, Inc.
Mollie Melbourne, President/CEO
(203) 332-3501

Primary Contact

Southwest Community Health center,Inc
Naila Haroon, Manager 340 B Program & Credentialing
(203) 332-3564

Addresses

Street Address

1181 Fairfield Ave
Bridgeport, CT 06605-1183

Billing Address

SOUTHWEST COMMUNITY HEALTH CENTER, INC.
46 ALBION STREET
BRIDGEPORT, CT 06605

Comment	Last Updated On
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Participating from effective date (10/1/2010) until terminated effective date (4/1/2019), reinstatement effective date (04/11/2019).	04/11/2019
Participating from effective date (10/1/2010) until terminated effective date (4/1/2019), reinstatement effective date (04/11/2019).	04/11/2019
Participating from effective date (10/01/2010) until terminated effective date (04/01/2019), reinstatement effective date (07/01/2019)	04/10/2019

340B Drug Pricing Program Database