Active NPI
Southwest Community Health Center
- Voluntary or Charitable Agency
- Little Rock, AR
National Provider Identifier
1043618309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- Legal business name
- SOUTHWEST COMMUNITY HEALTH CENTER
- Practice address
- 5705 W 65TH St
Suite C
Little Rock, AR 72209-3827 - Phone
- (501) 779-3528
- Fax
- (501) 562-4208
- NPI assigned
- Dec 18, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Charlesetta Harville
- Title
- Director
- Phone
- (501) 799-3528
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | Primary |
Addresses
Primary practice location
5705 W 65TH St
Suite C
Little Rock, AR 72209-3827
Mailing address
5705 W 65TH St
Suite C
Little Rock, AR 72209-3827
Phone (501) 779-3528
National Provider Directory
National Provider DirectoryLocations
5705 W 65th St
Ste C
Little Rock, AR 72209
Phone (501) 779-3528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418860800000",
"number": "1043618309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5705 W 65TH ST",
"address_2": "SUITE C",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722093827",
"telephone_number": "501-779-3528",
"fax_number": "501-582-4208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5705 W 65TH ST",
"address_2": "SUITE C",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722093827",
"telephone_number": "501-779-3528",
"fax_number": "501-562-4208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST COMMUNITY HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-18",
"last_updated": "2014-12-18",
"status": "A",
"authorized_official_last_name": "HARVILLE",
"authorized_official_first_name": "CHARLESETTA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "501-799-3528",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.