WEST SIDE COMMUNITY HEALTH SERVICES, INC (NPI# 1295886208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295886208 |
Entity Type | Organization |
Organization Name | WEST SIDE COMMUNITY HEALTH SERVICES, INC |
Other Organization Name | DOROTHY DAY CLINIC |
Practice Address |
183 Old Sixth Street Saint Paul MN 55102-1026 |
Mailing Address |
153 Cesar Chavez St Saint Paul MN 55107-2226 |
Practice Telephone | 6512906814 |
Practice Fax Number | 6512906818 |
Mailing Telephone | 6512221816 |
Mailing Fax Number | 6512221305 |
Enumeration Date | 2007-01-16 |
Last Update Date | 2008-12-26 |
Authorized Official Name | MAVIS CAROL BREHM (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 6516027536 |
Is Organization Subpart | N |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 193905100 | 05 | |
MN | UCARE | 106738 | 01 |
Other Name | Type Code |
---|---|
Dorothy Day Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194902072 | West Side Community Health Services, Inc | Clinic/Center | 1212 University Ave W, Saint Paul, MN 55104-4123 | 2008-01-23 |
1437118619 | West Side Community Health Services, Inc | Clinic/Center | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2006-03-17 |
Street Address |
183 OLD SIXTH STREET |
City | SAINT PAUL |
State | MN |
Zip Code | 55102-1026 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
Find all providers in zip 55102 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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 |
1649394727 | West Side Community Health Services, Inc. | Clinic/Center | 30 Baker St E, Saint Paul, MN 55107-2966 | 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 |
Find all providers in SAINT PAUL |
City | SAINT PAUL |
Zip Code | 55102 |
Please comment or provide details below to improve the information on WEST SIDE COMMUNITY HEALTH SERVICES, INC.
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.