| Westside Clinic | |
|
Federal Route 21 Pisinemo Village AZ 89563 | |
| (520) 362-3130 | |
| Not Available |
| Full Name | Westside Clinic |
|---|---|
| Speciality | Clinic/center - Public Health, Federal |
| Location | Federal Route 21, Pisinemo Village, Arizona |
| Authorized Official Name and Position | Kurt Priessman (ACCOUNTING AND BUDGET OFFICER) |
| Authorized Official Contact | 5202952427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Clinic 7900 S J Stock Rd Tucson AZ 85746-7012 Ph: (520) 295-2427 | Westside Clinic Federal Route 21 Pisinemo Village AZ 89563 Ph: (520) 362-3130 |
| NPI Number | 1336199199 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 01/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336199199 | NPI | - | NPPES |
| 03D09569818 | Other | AZ | CLIA # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Primary |