WESLEY COMMUNITY CENTER INC; NPI #1396910436

Contact Information

WESLEY COMMUNITY CENTER INC

1300 S 10TH ST
PHOENIX, AZ 85034-4516

Phone: 602-252-5609
Fax: 602-257-4338
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 Number	`1396910436`
LBN Legal business name	WESLEY COMMUNITY CENTER INC
Authorized official	BETTY MATHIS - (EXECUTIVE DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/29/2008
Last updated	01/22/2025 - More than a year ago
Identifiers	n/a

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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