West Side Community Health Services, Inc.

NPI #1932392727 in Saint Paul, Minnesota

Provider Information

NPI Number
1932392727
Entity Type
Organization
Organization Name
West Side Community Health Services, Inc.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Aug 24, 2007
Last Updated
May 15, 2024

Practice Location

Address
740 ROSE AVE W
ZIP Code
55117-4042
Phone
(651) 487-8539

Authorized Official

Name
REUBEN MOORE
Title
EXECUTIVE DIRECTOR
Phone
(651) 602-7536

Specialties & Taxonomy Codes

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

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