National Provider Identifier

Westside Health Services, Inc.

Westside Health Services, Inc. is listed in the NPPES registry with a primary specialty of Federally Qualified Health Center (FQHC) in Rochester, NY and a listed phone number of (585) 254-6480.

NPI 1306941752Rochester, NYFederally Qualified Health Center (FQHC)

Profile Overview

NPI
1306941752
Provider Type
Organization
Primary Specialty
Federally Qualified Health Center (FQHC)
Enumeration Date
September 13, 2006
Last Updated
October 06, 2010

Practice Location

  • 322 Lake Ave
  • Rochester, NY 14608-1017

Phone: (585) 254-6480

Mailing Address

  • 480 Genesee St
  • Rochester, NY 14611-3634

Specialties

  • Federally Qualified Health Center (FQHC) (261QF0400X)
Full Record
NPI
1306941752
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Westside Health Services, Inc.
Mailing Street Address
480 Genesee St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14611-3634
Mailing Country
US
Mailing Phone
(585) 436-3040
Mailing Fax
(585) 295-6009
Practice Street Address
322 Lake Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14608-1017
Practice Country
US
Practice Phone
(585) 254-6480
Practice Fax
(585) 295-6009
Enumeration Date
September 13, 2006
Last Updated
October 06, 2010
Authorized Official Last Name
Donohue
Authorized Official First Name
Laurie
Authorized Official Middle Name
J.
Authorized Official Title
Medical Director
Authorized Official Phone
(585) 436-3040
Organization Subpart
No
Authorized Official Credential Text
M.D.
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Federally Qualified Health Center (FQHC) (261QF0400X)
Other Identifiers
00355353 (NY), G0182661590 (NY, Blue Choice Of Rochester)