| Westside Family Healthcare, Inc | |
|
404 Foxhunt Dr Bear DE 19701-2538 | |
| (302) 836-2864 | |
| Not Available |
| Full Name | Westside Family Healthcare, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 404 Foxhunt Dr, Bear, Delaware |
| Authorized Official Name and Position | Lolita A. Lopez (PRESIDENT & CEO) |
| Authorized Official Contact | 3026568292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Family Healthcare, Inc Po Box 151 New Castle DE 19720-0151 Ph: (302) 655-5822 | Westside Family Healthcare, Inc 404 Foxhunt Dr Bear DE 19701-2538 Ph: (302) 836-2864 |
| NPI Number | 1821232869 |
|---|---|
| Provider Enumeration Date | 04/21/2009 |
| Last Update Date | 04/20/2022 |
| Medicare PECOS PAC ID | 6800706599 |
|---|---|
| Medicare Enrollment ID | O20090716000674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821232869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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