| NPI | 1316104573 |
|---|---|
| Doing Business As | WEST SIDE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | CLINTON KUNTZ CEO 520-682-4111 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: AZ OCT4381) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2018-02-27 |