WESTSIDE FAMILY HEALTHCARE, INC. – Federally Qualified Health Center (FQHC), NPI 1669479929

WESTSIDE FAMILY HEALTHCARE, INC. is a healthcare provider. based in Wilmington, Delaware. specializing in Federally Qualified Health Center (FQHC). The NPI Number for WESTSIDE FAMILY HEALTHCARE, INC. is 1669479929

Main info

Organization
Name
WESTSIDE FAMILY HEALTHCARE, INC.
NPI
1669479929
Phone
(302) 655-5822
Address
1802 W 4TH ST
Authorized Official
CHRISTOPHER FRASER PRESIDENT/CEO FACHE
Enumeration Date
1 July 2005
Last Update Date
12 May 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for WESTSIDE FAMILY HEALTHCARE, INC.

  • 1802, West 4th Street, Hilltop, Wilmington, New Castle County, Delaware, 19805, United States

    WILMINGTON, DE 198053420

    Phone: (302) 655-5822

    Fax: (302) 655-5949

    Type: Location

  • PO BOX 151

    NEW CASTLE, DE 197200151

    Phone: (302) 655-2822

    Fax: (302) 655-5949

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-08-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation scheduled

Earliest CMS due date is 2026-10-31 (140 days away).

Enrollment records

1

Earliest due date

2026-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20080805000526OFederally Qualified Health Center (Fqhc)DE2026-10-31

What to do next

  • Monitor the published due date as it approaches.
  • Plan to revalidate in PECOS within the window CMS allows before the due date.
  • Verify the date on the CMS Revalidation Lookup Tool before submitting.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19805)

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Reviews

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Frequently asked questions

How do payers reference WESTSIDE FAMILY HEALTHCARE, INC.?
For WESTSIDE FAMILY HEALTHCARE, INC., use NPI 1669479929 as the unique 10-digit identifier.
Active or inactive — what applies to WESTSIDE FAMILY HEALTHCARE, INC.?
You should see WESTSIDE FAMILY HEALTHCARE, INC. as active in CMS-hosted NPPES data.
What kind of doctor is WESTSIDE FAMILY HEALTHCARE, INC.?
WESTSIDE FAMILY HEALTHCARE, INC. is associated with Federally Qualified Health Center (FQHC) in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with WESTSIDE FAMILY HEALTHCARE, INC.?
Directory geography for WESTSIDE FAMILY HEALTHCARE, INC. centers on Wilmington, Delaware.
When was this NPI issued?
Enumeration for WESTSIDE FAMILY HEALTHCARE, INC. is noted as July 1, 2005 where the registry provides it.

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WESTSIDE FAMILY HEALTHCARE, INC

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PO BOX 151
NPI: 1669274452