WESLEY COMMUNITY CENTER, INC; NPI #1144696097

Contact Information

WESLEY COMMUNITY CENTER, INC

1625 N 39TH AVE
PHOENIX, AZ 85009-2149

Phone: 602-368-9603
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for WESLEY COMMUNITY CENTER, INC

NPI # 1144696097

LBN Legal business name WESLEY COMMUNITY CENTER, INC

Authorized official KATIE BRITE - (CHIEF MEDICAL OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/14/2015

Last updated 03/18/2022 - About 4 years ago

Identifiers

Medicaid

934329

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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