| NPI | 1194596759 |
|---|---|
| Doing Business As | WESTSIDE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JENNIFER RUSSELL Administrative Assistant 304-734-2040 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2025-07-30 |