WEST SIDE COMMUNITY HEALTH SERVICES, INC.


Address: 30 Baker St E, Saint Paul, MN 55107-2966
Phone: 6513121996

WEST SIDE COMMUNITY HEALTH SERVICES, INC. (NPI# 1649394727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649394727
Entity Type Organization
Organization Name WEST SIDE COMMUNITY HEALTH SERVICES, INC.
Other Organization Name HUMBOLDT JR SR HIGHSCHOOL CLINIC
Practice Address 30 Baker St E
Saint Paul
MN 55107-2966
Mailing Address 153 Cesar Chavez St
Saint Paul
MN 55107-2226
Practice Telephone 6513121996
Practice Fax Number 6513121997
Mailing Telephone 6512221816
Mailing Fax Number 6512221305
Enumeration Date 2007-03-16
Last Update Date 2008-06-18
Authorized Official Name MAVIS CAROL BREHM (EXECUTIVE DIRECTOR)
Authorized Official Telephone 6516027536
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
MN Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MN 522927000 05

Other Provider/Organization Names

Other Name Type Code
Humboldt Jr Sr HighSchool Clinic Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1932392727 West Side Community Health Services, Inc. Clinic/Center 740 Rose Ave W, Saint Paul, MN 55117-4042 2007-08-24
1023201811 West Side Community Health Services, Inc. Clinic/Center 275 Lexington Pkwy N, Saint Paul, MN 55104-5402 2007-08-24
1881887032 West Side Community Health Services, Inc. Clinic/Center 1540 6th St E, Saint Paul, MN 55106-4806 2007-08-21
1407049653 West Side Community Health Services, Inc. Clinic/Center 1015 Snelling Ave S, Saint Paul, MN 55116-2447 2007-08-21
1881718971 West Side Community Health Services, Inc. Clinic/Center 980 9th Ave S, Saint Paul Park, MN 55071-1436 2007-03-16
1457475543 West Side Community Health Services, Inc. Clinic/Center 495 Rice Street, St Paul, MN 55117-3864 2007-03-16
1730203944 West Side Community Health Services, Inc. Clinic/Center 2001 Van Dyke St, Maplewood, MN 55109-3711 2007-03-16
1083765135 West Side Community Health Services, Inc. Clinic/Center 1349 Arcade St, Saint Paul, MN 55106-1801 2007-01-16
1821149964 West Side Community Health Services, Inc. Clinic/Center 1544 Timberlake Rd, Saint Paul, MN 55117-3946 2007-01-16
1104977255 West Side Community Health Services, Inc. Clinic/Center 435 University Ave E, Saint Paul, MN 55101-4437 2007-01-16

Office Location

Street Address 30 BAKER ST E
City SAINT PAUL
State MN
Zip Code 55107-2966

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477944809 Marina Castillo Counselor 143 Isabel St. W, Saint Paul, MN 55107 2015-02-06
1134540123 Michelle M Lee Social Worker 106 Water Street/3rd Floor, Umbrella Tree Studios, St. Paul, MN 55107 2013-12-18
1376748574 Mary E. A. Horoshak Physical Therapist 155 S Wabasha St, Suite 130, St. Paul, MN 55107 2007-06-18
1821156050 Amherst H. Wilder Foundation Assisted Living Facility 469 Ada St, Saint Paul, MN 55107 2006-12-04
1407914674 Amherst H. Wilder Foundation Clinic/Center 516 Humboldt Ave, Saint Paul, MN 55107 2006-12-04
1780753681 Chad Randal Vickers Nurse Practitioner 135 Colorado Street East, Saint Paul, MN 55107 2006-11-06
1225122872 Elizabeth E Frost Family Medicine 153 Cesar Chavez Street, St Paul, MN 55107 2006-10-03
1215457890 Elizabeth Smith Zaremba Dietitian, Registered 205 Wabasha St S, Mail Stop 31300a, St Paul, MN 55107 2017-06-23
1619413606 Elizabeth Burgos Social Worker 153 Cesar Chavez St, Saint Paul, MN 55107 2017-01-13
1033561915 Isetta Pierre Marriage & Family Therapist 153 Cesar Chavez St, Saint Paul, MN 55107 2016-07-05
Find all providers in zip 55107

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205397395 Health Start Sbc Creative Arts Clinic/Center 65 Kellogg Blvd E, Saint Paul, MN 55101-1106 2019-03-29
1194902072 West Side Community Health Services, Inc Clinic/Center 1212 University Ave W, Saint Paul, MN 55104-4123 2008-01-23
1932392727 West Side Community Health Services, Inc. Clinic/Center 740 Rose Ave W, Saint Paul, MN 55117-4042 2007-08-24
1023201811 West Side Community Health Services, Inc. Clinic/Center 275 Lexington Pkwy N, Saint Paul, MN 55104-5402 2007-08-24
1881887032 West Side Community Health Services, Inc. Clinic/Center 1540 6th St E, Saint Paul, MN 55106-4806 2007-08-21
1407049653 West Side Community Health Services, Inc. Clinic/Center 1015 Snelling Ave S, Saint Paul, MN 55116-2447 2007-08-21
1083765135 West Side Community Health Services, Inc. Clinic/Center 1349 Arcade St, Saint Paul, MN 55106-1801 2007-01-16
1821149964 West Side Community Health Services, Inc. Clinic/Center 1544 Timberlake Rd, Saint Paul, MN 55117-3946 2007-01-16
1295886208 West Side Community Health Services, Inc Clinic/Center 183 Old Sixth Street, Saint Paul, MN 55102-1026 2007-01-16
1104977255 West Side Community Health Services, Inc. Clinic/Center 435 University Ave E, Saint Paul, MN 55101-4437 2007-01-16
Find all providers in SAINT PAUL

Competitor

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City SAINT PAUL
Zip Code 55107

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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