WESTSIDE FAMILY HEALTHCARE, INC. (NPI# 1669479929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669479929 |
| Entity Type | Organization |
| Organization Name | WESTSIDE FAMILY HEALTHCARE, INC. |
| Practice Address |
1802 W 4th St Wilmington DE 19805-3420 |
| Practice Telephone | 3026555822 |
| Practice Fax Number | 3026555949 |
| Mailing Telephone | 3026552822 |
| Mailing Fax Number | 3026555949 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2014-01-09 |
| Authorized Official Name | MS. LOLITA A. LOPEZ (PRESIDENT/CEO) |
| Authorized Official Telephone | 3026568292 |
| Authorized Official Credential | FACHE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 0000356566 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588952618 | Westside Family Healthcare, Inc. | Preferred Provider Organization | 1020 Forrest Avenue, Dover, DE 19901 | 2011-07-11 |
| 1952303695 | Westside Family Healthcare, Inc. | Clinic/Center | 908 E 16th St Ste B, Wilmington, DE 19802-5145 | 2005-08-12 |
| Street Address |
1802 W 4TH ST |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19805-3420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497312482 | Maria C Aguilar | Social Worker | 1802 W 4th St, Wilmington, DE 19805-3420 | 2019-05-24 |
| 1215456124 | Emily Smith | Nurse Practitioner | 1802 W 4th St, Wilmington, DE 19805-3420 | 2017-09-12 |
| 1336679265 | Angelica Montes | Family Medicine | 1802 W 4th St, Wilmington, DE 19805-3420 | 2017-06-13 |
| 1730610858 | Hannah Claire Purkey | Family Medicine | 1802 W 4th St, Wilmington, DE 19805-3420 | 2017-03-21 |
| 1659817096 | Jeanette Sukhu | Dietitian, Registered | 1802 W 4th St, Wilmington, DE 19805-3420 | 2017-01-09 |
| 1609222025 | Glenna Breslin Cordo | Nurse Practitioner | 1802 W 4th St, Wilmington, DE 19805-3420 | 2016-05-05 |
| 1336594043 | Shannon Fleming | Family Medicine | 1802 W 4th St, Wilmington, DE 19805-3420 | 2016-05-01 |
| 1730542036 | Victoria Shertel | Family Medicine | 1802 W 4th St, Wilmington, DE 19805-3420 | 2016-04-04 |
| 1558720128 | Andres Mauricio Hurtado | Dentist | 1802 W 4th St, Wilmington, DE 19805-3420 | 2016-02-11 |
| 1023485976 | Amanda Jennifer Bostick | Nurse Practitioner | 1802 W 4th St, Wilmington, DE 19805-3420 | 2015-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043854359 | Balanced Life Counseling, LLC | Social Worker | 1621 Howland Street, Wilmington, DE 19805 | 2019-10-30 |
| 1376050468 | Chelsey Bayles | Counselor | 3700 Lancaster Pike, Suite 305, Wilmington, DE 19805 | 2018-01-10 |
| 1629594098 | Laura Sullivan-holland | Registered Nurse | 2713 Lancaster Avenue, Wilmington, DE 19805 | 2017-08-17 |
| 1013362151 | Arthur Andrew Dermen | Student in an Organized Health Care Education/Training Program | 701 North Clayton St, St Francis Hospital - Dept of Family Medicine, Wilmington, DE 19805 | 2016-04-26 |
| 1689031262 | Ivps of Delaware | Specialist | 1305 Kirkwood Highway, Wilmington, DE 19805 | 2016-01-27 |
| 1043689110 | Vitality Chiropractic and Rehabilitation Center | Chiropractor | 807 N Union Street, Wilmington, DE 19805 | 2015-09-18 |
| 1508259425 | Karlou Michael Cartwright | Nurse Practitioner | 1100 South Broom St, Wilmington, DE 19805 | 2015-03-17 |
| 1629494737 | Jennie Strickler | Registered Nurse | 1902 A Maryland Ave., Wilmington, DE 19805 | 2014-03-13 |
| 1487912119 | Jamie Johnson Gellock | Family Medicine | 1802 W 4th Street, Wilmington, DE 19805 | 2012-05-01 |
| 1992089007 | Abigail Triemstra | Speech-Language Pathologist | 1502 Spruce Avenue, Wilmington, DE 19805 | 2011-10-07 |
| Find all providers in zip 19805 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1861958829 | The Childrens Clinic 'serving Children and Their Families' | Clinic/Center | 445 E Anaheim St, Wilmington, CA 90744-4600 | 2019-02-14 |
| 1346588985 | Butler County Community Health Consortium Inc | Clinic/Center | 953 S South St, Wilmington, OH 45177-2921 | 2013-01-16 |
| 1417266537 | Healthsource of Ohio, Inc. | Clinic/Center | 140 W Main St, Wilmington, OH 45177-2239 | 2010-10-07 |
| 1821232869 | Westside Family Healthcare, Inc | Clinic/Center | 1802 W 4th St, Wilmington, DE 19805-3420 | 2009-04-21 |
| 1457512766 | New Hanover Community Health Center Incorporated | Clinic/Center | 1805 S 13th St, Wilmington, NC 28401-6469 | 2008-06-19 |
| 1912954090 | New Hanover Community Health Center Incorporated | Clinic/Center | 925 N 4th St, Wilmington, NC 28401-3450 | 2006-05-27 |
| 1952303695 | Westside Family Healthcare, Inc. | Clinic/Center | 908 E 16th St Ste B, Wilmington, DE 19802-5145 | 2005-08-12 |
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| 1922535616 | La Red Health Center, Inc | Clinic/Center | 30637 Cedar Neck Road, Ocean View, DE 19970 | 2017-05-12 |
| 1750762126 | La Red Health Center, Inc. | Clinic/Center | 21 W Clarke Ave Ste 1001, Milford, DE 19963-1840 | 2015-06-11 |
| 1700832185 | La Red Health Center Inc | Clinic/Center | 21444 Carmean Way, Georgetown, DE 19947-4572 | 2006-05-26 |
| 1790004786 | La Red Health Center, Inc. | Clinic/Center | 1057 S Bradford St, Dover, DE 19904-4141 | 2010-05-31 |
| 1497071161 | La Red Health Center, Inc. | Clinic/Center | 300 High St, Seaford, DE 19973-3940 | 2010-04-20 |
| 1811171978 | La Red Health Center Inc | Clinic/Center | 21444 Carmean Way, Georgetown, DE 19947-4572 | 2007-12-26 |
| 1225163199 | Delmarva Rural Ministries, Inc. | Clinic/Center | 26 Wyoming Ave, Dover, DE 19904-6922 | 2007-02-22 |
| 1801898556 | Westside Family Healthcare, Inc | Clinic/Center | 27 Marrows Rd, Newark, DE 19713-3701 | 2005-08-12 |
| City | WILMINGTON |
| Zip Code | 19805 |
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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.