WESTSIDE FAMILY CLINIC LLC
NPI 1801587779
Nurse Practitioner - Family in Russellville, AR

Active since May 19, 2023
3812 W MAIN ST, RUSSELLVILLE, AR 72801(479) 968-1245 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Westside Family Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTSIDE FAMILY CLINIC LLC (NPI 1801587779) is a healthcare organization registered as a family in Russellville, Arkansas and active in the NPI registry since May 2023. The organization lists Jeffrey Bosold, Ceo, as its authorized official.

NPPES Registry Identity

NPI1801587779
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameWESTSIDE FAMILY CLINIC LLC
Location Address3812 W MAIN STRussellville, AR 72801-2314
Mailing Address3812 W Main StRussellville, AR 72801-2314
Organization SubpartNo
Authorized OfficialJeffrey BosoldCeo · (479) 747-2641
Enumeration DateMay 19, 2023
NPPES CertifiedMay 19, 2023
NPI 1801587779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
3812 W MAIN ST, Russellville, AR 72801

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3812 W MAIN ST
RUSSELLVILLE, AR 72801
Nurse Practitioner (Family)
3812 W MAIN ST
RUSSELLVILLE, AR 72801
Family Medicine
3812 W MAIN ST
RUSSELLVILLE, AR 72801
Nurse Practitioner (Family)
3812 W MAIN ST
RUSSELLVILLE, AR 72801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Westside Family Clinic LLC's NPI number?

The NPI number for Westside Family Clinic LLC is 1801587779. It was assigned to this organization in the NPPES registry on May 19, 2023.

Where is Westside Family Clinic LLC located?

Westside Family Clinic LLC is located at 3812 W Main St, Russellville, AR 72801. The listed phone number is (479) 968-1245.

What is Westside Family Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Westside Family Clinic LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Westside Family Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Westside Family Clinic LLC was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.