West Side Community Health Services, INC

NPI #1174284699 in Farmington, Minnesota

Provider Information

NPI Number
1174284699
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
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jan 6, 2022
Last Updated
Mar 30, 2022

Practice Location

Address
19685 PILOT KNOB RD
ZIP Code
55024-7238
Phone
(651) 602-7500

Authorized Official

Name
CHRISTIE JANSEN
Title
VICE PRESIDENT OF FINANCE
Phone
(651) 602-7537

Specialties & Taxonomy Codes

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

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