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CH03296D WESTSIDE FAMILY HEALTHCARE, INC. (Active)
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Main Details
Name
WESTSIDE FAMILY HEALTHCARE, INC.
Subdivision Name
Westside Family Healthcare - Northeast
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004557
340B ID
CH03296D
Grant Number
H80CS00789
Additional Details
Current Program Status
Active
Registration Date
4/1/2004
Participating Start Date
4/1/2004
Participating Approval Date
3/10/2004
Last Recertification Date
2/25/2025
Contacts
Authorizing Official
Westside Family Healthcare
Chris Fraser, President & CEO
(302) 656-8292 Ext: 1008
Primary Contact
Westside Family Healthcare
Phillippa Jane Walmsley, Compliance Manager / Corporate Compliance Officer
(302) 656-8292 Ext: 1019
Addresses
Street Address
908 East 16th Street
Suite B
Wilmington, DE 19802-5145
Billing Address
Westside Family Healthcare, Inc.
300 Water Street
Suite 200
Wilmington, DE 19801-5043
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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5/2/12 - Changed contact name from LENETTA ROBERTS. 8/13/10 UPDATED ENTITY NAME (WAS WESTSIDE HEALTH CENTER, INC.) AND SUBDIV NAME (NORTHEAST HEALTH) AND BILL TO (WAS 1802 W. 4TH STREET, WILMINGTON, 19805); 1/30/07 UPDATED ADDR (WAS 1400 WASHINGTON STREET)
05/02/2012
8/13/10 UPDATED ENTITY NAME (WAS WESTSIDE HEALTH CENTER, INC.) AND SUBDIV NAME (NORTHEAST HEALTH) AND BILL TO (WAS 1802 W. 4TH STREET, WILMINGTON, 19805); 1/30/07 UPDATED ADDR (WAS 1400 WASHINGTON STREET)
08/13/2010
April 2025
April 2025
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