Organization · Type 2 NPI
Wesley Community Center Inc
Federally Qualified Health Center (FQHC) · Phoenix, AZ
NPI number
1013547686
Active
Practice location
1510 S 19th Dr Ste 100
Phoenix, AZ 85009-6540
Mailing address
1300 S 10th St
Phoenix, AZ 85034-4516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
| Health Service Clinic/Center | 261QH0100X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1013547686
Wesley Community Center Inc's National Provider Identifier is 1013547686, issued on Jan 22, 2020. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 9, 2021.