WESLEY COMMUNITY CENTER, INC (NPI# 1144696097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144696097 |
| Entity Type | Organization |
| Organization Name | WESLEY COMMUNITY CENTER, INC |
| Practice Address |
1625 N 39th Ave Phoenix AZ 85009-2149 |
| Mailing Address |
1300 S 10th St Phoenix AZ 85034-4516 |
| Practice Telephone | 6023689603 |
| Mailing Telephone | 6023689603 |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |
| Authorized Official Name | MRS. KATIE BRITE (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 6023689603 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
OTC4146 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 934329 | 05 |
| Street Address |
1625 N 39TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85009-2149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281687 | Kelly Chavez | Family Medicine | 1625 N 39th Ave, Phoenix, AZ 85009-2149 | 2020-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220065 | Ashley Medeiros | Specialist/Technologist | 2926 E. Encanto Blvd., Phoenix, AZ 85009 | 2020-09-16 |
| 1326252909 | Raul Herreras | Speech-Language Pathologist | 3101 W. Mcdowell Road, Phoenix, AZ 85009 | 2007-05-10 |
| 1295956779 | Gerardo Gaerlan Gregorio | Internal Medicine | 3250 W. Lower Buckeye Road, Phoenix, AZ 85009 | 2007-05-01 |
| 1316060338 | Eve Ronnie Davidson | Registered Nurse | 3333wroosevelt, Phoenix, AZ 85009 | 2007-04-06 |
| 1679693808 | Paul Thomas Lorentsen | Internal Medicine | 1929 W. Fillmore St, Bldg C, The Neighborhood Christian Clinic, Phoenix, AZ 85009 | 2007-03-30 |
| 1134246655 | Audrea J Chambers-pryce | Registered Nurse | 3715 W Roosevelt, Phx, AZ 85009 | 2007-03-22 |
| 1053437582 | Monique Marie Knepper | Licensed Practical Nurse | 3025 W Mc Dowell Rd, Phoenix, AZ 85009 | 2007-03-22 |
| 1245356054 | Lena Rose Felder | Speech-Language Pathologist | 3348 W. Mcdowell Rd., Phoenix, AZ 85009 | 2007-03-22 |
| 1508900036 | Walter M Wood | Psychologist | 3348 W Mcdowell Road, Phoenix, AZ 85009 | 2007-02-17 |
| 1194869982 | Maureen Brukardt | Registered Nurse | 3449 N 39th Ave, Phx, AZ 85009 | 2007-02-16 |
| Find all providers in zip 85009 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538250535 | Desert Mission Inc | Clinic/Center | 9201 N 5th St, Phoenix, AZ 85020-2532 | 2006-09-27 |
| 1003413022 | Sharon Williams | Clinic/Center | 4530 E Muirwood Dr Ste 103, Phoenix, AZ 85048-7693 | 2020-10-02 |
| 1679955504 | Walmart | Clinic/Center | 7575 W Lower Buckeye Rd, Phoenix, AZ 85043-3450 | 2015-06-27 |
| 1487050589 | Target | Clinic/Center | 4734 E Ray Rd, Phoenix, AZ 85044-6225 | 2014-11-17 |
| 1477953685 | Northern Oswego County Health Services, Inc. | Clinic/Center | 7 Bridge St, Phoenix, NY 13135-1906 | 2014-08-26 |
| 1174934111 | Cvs/caremark | Clinic/Center | 1525 N Central Ave, Phoenix, AZ 85004-1646 | 2014-05-13 |
| 1245676394 | Desert Edge Recovery | Clinic/Center | 1950 W Heatherbrae Dr, Ste4, Phoenix, AZ 85015 | 2013-05-16 |
| 1265798664 | Arizona State University | Clinic/Center | 500 N 3rd St, Phoenix, AZ 85004-2135 | 2012-04-10 |
| 1871812131 | My Sister My Friend | Clinic/Center | 3340 W Southern Ave, Phoenix, AZ 85041-4308 | 2010-05-26 |
| 1952572240 | Diocesan Council of The Society of St. Vincent De Paul Diocese of Phx | Clinic/Center | 420 W Watkins Rd, Phoenix, AZ 85003-2830 | 2008-03-14 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.