WESTSIDE CLINIC (NPI# 1740775212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740775212 |
| Entity Type | Organization |
| Organization Name | WESTSIDE CLINIC |
| Other Organization Name | WESTSIDE CLINIC |
| Practice Address |
904 S 10th St Ste B Saint Joseph MO 64503-2400 |
| Mailing Address |
904 S 10th St Ste A Saint Joseph MO 64503-2400 |
| Practice Telephone | 8163445201 |
| Practice Fax Number | 8162335296 |
| Mailing Telephone | 8163445201 |
| Mailing Fax Number | 8162335296 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-10-03 |
| Authorized Official Name | LINDA CARMEL JUDAH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8163445201 |
| Authorized Official Credential | RN,MSN |
| Is Organization Subpart | Y |
| Parent Organization Name | SOCIAL WELFARE BOARD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251K00000X | Public Health or Welfare | Agencies | ||
| N | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities | ||
| Y | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | COMMERCIAL | 1497024145 | 01 |
| MO | 1497024145 | 05 |
| Other Name | Type Code |
|---|---|
| Westside Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538125703 | Westside Clinic | Internal Medicine | 221 W 8th Ave, Winfield, KS 67156-2718 | 2006-04-25 |
| Street Address |
904 S 10TH ST STE B |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64503-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669994356 | Laurie Dunn | Social Worker | 3302 S Belt Hwy P, Saint Joseph, MO 64503 | 2017-07-13 |
| 1598174062 | Karen Elizabeth Mccoy | Nurse Practitioner | 904 S.10th Street Homeless Outreach, Suite A, St. Joseph, MO 64503 | 2014-08-08 |
| 1487633848 | Rebecca A Weber | Speech-Language Pathologist | 3007 S Belt Hwy, St Joseph, MO 64503 | 2006-01-13 |
| 1003030990 | Dixie Leah Mattthews | Physical Therapy Assistant | 2708 Walnut St, Saint Joseph, MO 64503-1159 | 2007-04-12 |
| 1295871200 | Barbara Joanne Despain | Social Worker | 2716 Ajax Rd, Saint Joseph, MO 64503-1326 | 2007-01-29 |
| 1255622148 | Gayron W Haywood | Counselor | 3106 Pickett Rd, Saint Joseph, MO 64503-1426 | 2011-04-26 |
| 1881738748 | Holly L. Thomas-chapman | Social Worker | 3216 Pickett Rd, Saint Joseph, MO 64503-1428 | 2007-02-16 |
| 1770504730 | Hac, Inc. | Pharmacy | 3734 Pear St, Saint Joseph, MO 64503-1507 | 2006-07-22 |
| 1417339102 | Wheels's Pharmacy | Pharmacy | 3734 Pear St, Saint Joseph, MO 64503-1507 | 2015-06-18 |
| 1447899075 | Ashley Dickerson | Social Worker | 3302 S Belt Hwy Ste P, Saint Joseph, MO 64503-1514 | 2019-12-30 |
| Find all providers in zip 64503 | ||||
| Taxonomy Code | 261QF0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Family Planning, Non-Surgical |
| An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205128675 | Family Planning of St Joseph Inc | Clinic/Center | 1322 N 36th St, Saint Joseph, MO 64506-2365 | 2011-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992126262 | Planned Parenthood of The St. Louis Region and Southwest Missouri | Clinic/Center | 2796 98 North Highway 67, Florissant, MO 63033-1402 | 2014-01-03 |
| 1134540545 | Planned Parenthood of The St. Louis Region and Southwest Missouri | Clinic/Center | 3401 S Grand Blvd, Saint Louis, MO 63118-1003 | 2014-01-02 |
| 1790106102 | Planned Parenthood of The St. Louis Region and Southwest Missouri | Clinic/Center | 208 Mid Rivers Ctr, Saint Peters, MO 63376-4325 | 2014-01-02 |
| 1447671847 | Planned Parenthood of The St. Louis Region and Southwest Missouri | Clinic/Center | 626 E Battlefield St, Springfield, MO 65807-4806 | 2014-01-02 |
| 1417100173 | East Missouri Action Agency, Inc | Clinic/Center | 1111 Linden Ave, Cape Girardeau, MO 63702 | 2008-10-28 |
| 1972756633 | East Missouri Action Agency, Inc | Clinic/Center | 606 West Russell, Ironton, MO 63650 | 2008-10-28 |
| 1518110279 | East Missouri Action Agency, Inc. | Clinic/Center | 806 West College Rd, Fredericktown, MO 63645 | 2008-10-28 |
| 1699928358 | East Missouri Action Agency, Inc. | Clinic/Center | 519 Old St Mary's Rd, Perryville, MO 63775 | 2008-10-28 |
| 1710025754 | Tri-rivers Family Planning, Inc. | Clinic/Center | 1032 Kingshighway St Ste B, Rolla, MO 65401-2921 | 2007-02-02 |
| 1740601145 | Planned Parenthood of The St. Louis Region and Southwest Missouri | Clinic/Center | 1 Stonegate Ctr, Valley Park, MO 63088-1215 | 2014-01-02 |
| Find all providers with the same taxonomy | ||||
| City | SAINT JOSEPH |
| Zip Code | 64503 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.