Organization Active NPI

Southwest Community Health Center

  • Voluntary or Charitable Agency
  • Little Rock, AR
National Provider Identifier
1043618309
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
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

Updated by the provider on Dec 18, 2014

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.