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) 436-3040.

NPI 1316049240Rochester, NYFederally Qualified Health Center (FQHC)

Profile Overview

NPI
1316049240
Provider Type
Organization
Primary Specialty
Federally Qualified Health Center (FQHC)
Enumeration Date
September 01, 2006
Last Updated
January 31, 2011

Practice Location

  • 480 Genesee St
  • Rochester, NY 14611-3634

Phone: (585) 436-3040

Specialties

  • Federally Qualified Health Center (FQHC) (261QF0400X)
Full Record
NPI
1316049240
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
Practice Street Address
480 Genesee St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14611-3634
Practice Country
US
Practice Phone
(585) 436-3040
Practice Fax
(585) 295-6009
Enumeration Date
September 01, 2006
Last Updated
January 31, 2011
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)