Westside Clinic

LBN: Dhhs-Phs, Ihs Tucson Area, Ihs Tucson
Westside Clinic is an health care organization with primary practice located at Federal Route 21 , Pisinemo Village AZ 89563. The organization recently has only one registered license in Ambulatory Health Care Facilities / Public Health, Federal, which is considered as the primary health care specialty. Dhhs-Phs, Ihs Tucson Area, Ihs Tucson can be contacted via phone (520) 362-3130, or through Priessman, Kurt via phone (520) 295-2427.

Contact Information

Primary practice address
Federal Route 21 Pisinemo Village AZ 89563
Phone: (520) 362-3130
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Priessman, Kurt M.B.A., C.P.M.
Phone: (520) 295-2427

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Public Health, Federal 261QP0904X

Profile Details

NPI number 1336199199
LBN Legal business name Dhhs-Phs, Ihs Tucson Area, Ihs Tucson
DBA Doing business as Westside Clinic
Authorized official Priessman, Kurt M.B.A., C.P.M.
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated Jan 17th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336199199 NPPES
Arizona Other 03D09569818 CLIA #

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