| NPI | 1891867495 |
|---|---|
| Doing Business As | WESTSIDE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | TASHA BLACKMON CEO 616-965-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 104100000X Social Worker | |
| 122300000X Dentist | |
| 133N00000X Nutritionist | |
| 163W00000X Registered Nurse | |
| 207Q00000X Family Medicine | |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2018-05-07 |