Organization
WESTSIDE HEALTHCARE ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANGELA M POOLE (CHIEF FINANCIAL OFFICER)
(414) 934-7582
Entity
Organization
Contact information
Practice address
3522 W LISBON AVE, MILWAUKEE, WI 53208-1953
(414) 935-8000
(414) 755-0058
Mailing address
3522 W LISBON AVE, MILWAUKEE, WI 53208-1953
(414) 935-8000
(414) 755-0058
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4109
WI
207Q00000X
Family Medicine Physician
Primary
49433
WI
363A00000X
Physician Assistant
2023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32957400
—
WI
Enumeration date
06/13/2008
Last updated
06/13/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us