Wesley Community Center Inc

LBN: Wesley Community Center Inc
Wesley Community Center Inc is an health care organization with primary practice located at 1510 S 19Th Dr Ste 100 , Phoenix AZ 85009-6540. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Health Service. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Wesley Community Center Inc can be contacted via phone (602) 368-9896, or through Bandi, Blaine via phone (602) 368-9616.

Contact Information

Primary practice address
1510 S 19Th Dr Ste 100 Phoenix AZ 85009-6540
Phone: (602) 368-9896
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bandi, Blaine
Phone: (602) 368-9616

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1013547686
LBN Legal business name Wesley Community Center Inc
DBA Doing business as
Authorized official Bandi, Blaine
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2020
Last updated Apr 9th, 2021 - about 5 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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