National Provider Identifier Database

WESLEY COMMUNITY CENTER INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

WESLEY COMMUNITY CENTER INC
1510 S 19TH DR STE 100
PHOENIX, AZ85009-6540
Phone: 602-368-9896
Fax:
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for WESLEY COMMUNITY CENTER INC

NPI Number 1013547686
Legal business name
LBN
WESLEY COMMUNITY CENTER INC
Authorized official BLAINE BANDI - (CEO)
Entity Organization
Organization subpart No
Enumeration date 01/22/2020
Last updated 04/09/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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