| Westside Health Services, Inc. | |
|
322 Lake Ave Rochester NY 14608-1017 | |
| (585) 254-6480 | |
| (585) 295-6009 |
| Full Name | Westside Health Services, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 322 Lake Ave, Rochester, New York |
| Authorized Official Name and Position | Laurie J. Donohue (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5854363040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Health Services, Inc. 480 Genesee St Rochester NY 14611-3634 Ph: (585) 436-3040 | Westside Health Services, Inc. 322 Lake Ave Rochester NY 14608-1017 Ph: (585) 254-6480 |
| NPI Number | 1306941752 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 10/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306941752 | NPI | - | NPPES |
| 00355353 | Medicaid | NY | |
| G0182661590 | Other | NY | BLUE CHOICE OF ROCHESTER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 2701220R (New York) | Primary |
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