WESTSIDE FAMILY HEALTHCARE, INC.; NPI #1669479929

Contact Information

WESTSIDE FAMILY HEALTHCARE, INC.

1802 W 4TH ST
WILMINGTON, DE 19805-3420

Phone: 302-655-5822
Fax: 302-655-5949
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 WESTSIDE FAMILY HEALTHCARE, INC.

NPI Number 1669479929

LBN Legal business name WESTSIDE FAMILY HEALTHCARE, INC.

Authorized official CHRISTOPHER FRASER - (PRESIDENT/CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/01/2005

Last updated 05/12/2025 - More than a year ago

Identifiers

Medicaid

0000356566

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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