Organization
WESLEY COMMUNITY CENTER, INC
Active
Parent organization
WESLEY COMMUNITY CENTER, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESLEY COMMUNITY CENTER, INC
Authorized official
BLAINE BANDI (CHIEF EXECUTIVE OFFICER)
(602) 368-9616
Entity
Organization
Contact information
Practice address
810 SOUTH CENTRAL AVENUE, PHOENIX, AZ 85003
(602) 257-4323
(602) 257-4323
Mailing address
1300 S 10TH ST, PHOENIX, AZ 85034-4598
(602) 257-4323
(602) 257-4323
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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