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WESTSIDE FAMILY HEALTHCARE INC NPI 1801898556


NPI Information

NPI: 1801898556
Provider Name: WESTSIDE FAMILY HEALTHCARE, INC

Other Name: BROOKSIDE

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 08D1024635

Address:
27 MARROWS RD
NEWARK, DE
ZIP 19713
Phone: (302) 455-0900
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WESTSIDE FAMILY HEALTHCARE, INC is a federally qualified health center (fqhc) clinic center in Newark, DE. WESTSIDE FAMILY HEALTHCARE, INC NPI is 1801898556. The provider is registered as an organization entity type.
The provider Other Name Is Brookside.

The provider's business location address is:

27 MARROWS RD
NEWARK, DE
ZIP 19713-701
Phone: (302) 455-0900
Fax: (302) 738-0176

The provider's authorized official is Lolita A. Lopez .
The authorized official title is Chief Executive Officer and has the following contact phone number (302) 656-8292.

The CLIA number assigned to this NPI record is 08D1024635 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/12/2005 and was last updated on 4/20/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10000356566MEDICAIDDELAWARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.