West Side Community Health Services, Inc.

NPI #1043187289 in Saint Paul, Minnesota

Provider Information

NPI Number
1043187289
Entity Type
Organization
Organization Name
West Side Community Health Services, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
WEST SIDE COMMUNITY HEALTH SERVICES, INC.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Oct 22, 2025
Last Updated
Oct 22, 2025

Practice Location

Address
624 SMITH AVE S
ZIP Code
55107-2620
Phone
(651) 602-7500

Authorized Official

Name
ERIC WILLIAM HANSON
Title
REV DATA & CREDENTIALING MANAGER
Phone
(651) 389-2560

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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