WESTSIDE HEALTH NPI 1861537821

Clinic/Center (Dental) in Wilmington, DE

Organization Clinic/Center Dental

About WESTSIDE HEALTH

Westside Health is a provider in Wilmington, DE. The NPI number assigned to this provider is 1861537821. The practitioner's primary taxonomy code is Clinic/Center (261QD0000X). The provider is registered as an organization and their NPI record was last updated 12 years ago.

NPI

1861537821

Provider NameWESTSIDE HEALTH
Provider Location Address1802 W 4TH ST WILMINGTON, DE 19805
Provider Mailing Address1802 W 4TH ST WILMINGTON, DE 19805
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?N/A
Enumeration Date02-20-2007
Last Update Date07-09-2007

Primary Taxonomy

Taxonomy Code261QD0000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationDental

Business Address

WESTSIDE HEALTH
1802 W 4TH ST
WILMINGTON, DE
ZIP 19805
Phone: (302) 655-5822

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Mailing Address

WESTSIDE HEALTH
1802 W 4TH ST
WILMINGTON, DE
ZIP 19805
Phone: (302) 655-5822

Authorized Official

Authorized Official Name LOLITA A. LOPEZ
Authorized Official TitlePRESIDENT & CEO
Authorized Official Phone(302) 655-5576

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1000015023MEDICAID (05)DE

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023485976MS. AMANDA JENNIFER BOSTICK FNP-C
Individual
Nurse Practitioner (Family)1802 W 4TH ST
WILMINGTON, DE 19805
(302) 655-5822
1073511697 THOMAS E STEPHENS MD
Individual
Family Medicine1802 W 4TH ST
WILMINGTON, DE 19805
(302) 652-2455
1073802252 ELIZABETH MARIE DALY M.D.
Individual
Family Medicine1802 W 4TH ST
WILMINGTON, DE 19805
(302) 652-2455
1093041808DR. VANESSA NICOLLETTE DURAND D.O.
Individual
Pediatrics1802 W 4TH ST
WILMINGTON, DE 19805
(302) 655-5822
1134523236 LIZMARY ORTEGA
Individual
Nurse's Aide1802 W 4TH ST
WILMINGTON, DE 19805
(302) 655-5822
1154404986DR. SUSANNE M HANDLING MD
Individual
Family Medicine1802 W 4TH ST
WILMINGTON, DE 19805
(302) 655-5576
1194877084WESTSIDE HEALTH, INC.
Organization
Family Medicine1802 W 4TH ST
WILMINGTON, DE 19805
(302) 655-5822
1407939200 LAURIE BRUNK CPNP
Individual
Nurse Practitioner (Pediatrics)1802 W 4TH ST
WILMINGTON, DE 19805
(302) 652-2455
1447257738DR. MARYANN K. BAILEY DDS
Individual
Dentist (General Practice)1802 W 4TH ST
WILMINGTON, DE 19805
(302) 655-5822
1457518862DR. KARLA ANNA TESTA M.D.
Individual
Family Medicine1802 W 4TH ST
WILMINGTON, DE 19805
(302) 655-5822
1497029698 MARY KATHRYN STROH R.D.
Individual
Dietitian, Registered1802 W 4TH ST
WILMINGTON, DE 19805
(302) 655-5822
1568721017DR. KATHERINE MARY TOWNSEND D.M.D.
Individual
Dentist (General Practice)1802 W 4TH ST
WILMINGTON, DE 19805
(302) 652-2455
1639471311MRS. AMANDA FLORENCE LUCKANISH NP-C
Individual
Nurse Practitioner (Family)1802 W 4TH ST
WILMINGTON, DE 19805
(302) 652-2455
1649476938 MEGAN WERNER MD
Individual
Family Medicine1802 W 4TH ST
WILMINGTON, DE 19805
(302) 655-5822
1659790475MRS. EMMA DONNELLY RD
Individual
Dietitian, Registered1802 W 4TH ST
WILMINGTON, DE 19805
(215) 206-2194
1669479929WESTSIDE FAMILY HEALTHCARE, INC.
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))1802 W 4TH ST
WILMINGTON, DE 19805
(302) 655-5822
1689673337DR. CAMILLE A. GOODSPEED DO
Individual
Family Medicine1802 W 4TH ST
WILMINGTON, DE 19805
(302) 655-5822
1790029890 RUTHANN WARD R.D.
Individual
Dietitian, Registered1802 W 4TH ST
WILMINGTON, DE 19805
(302) 655-5822
1821232869WESTSIDE FAMILY HEALTHCARE, INC
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))1802 W 4TH ST
WILMINGTON, DE 19805
(302) 655-5822
1871583088DR. MICHELLE ROBINSON DDS
Individual
Dentist (Dental Public Health)1802 W 4TH ST
WILMINGTON, DE 19805
(302) 655-5822

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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