West Side Clinic

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

WEST SIDE CLINIC

Practice address

1371 W Main St
Gaylord, MI 49735-7401

Phone

(989) 732-4118

Fax

(989) 732-7137

NPI assigned

Apr 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael Malleis

Title

Owner/Manager

Phone

(989) 732-4118

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669437885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 W MAIN ST",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497357401",
            "telephone_number": "989-732-4118",
            "fax_number": "989-732-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 W MAIN ST",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497357401",
            "telephone_number": "989-732-4118",
            "fax_number": "989-732-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SIDE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALLEIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "989-732-4118",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Weber
• Viktoria Weber, CADC
• Ronald Alan Weisberger, D.O.
• Shelley Welby, TLLP
• Calvin Wells-Harris
• Lori Ann Westerman, RPH
• Kurt Michael Wheeler, L..P.C.
• Tracey Lynn Wheeler, LMSW
• Nicole Marie White
• Rachael Wilhelm, LPC

• Urgent Care Clinic/Center in Gaylord, MI
• Providers in Gaylord, MI by specialty
• Urgent Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.