WEST SIDE COMMUNITY HEALTH SERVICES, INC. (NPI# 1407049653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407049653 |
Entity Type | Organization |
Organization Name | WEST SIDE COMMUNITY HEALTH SERVICES, INC. |
Other Organization Name | HIGHLAND PARK JR/SR HS CLINIC |
Practice Address |
1015 Snelling Ave S Saint Paul MN 55116-2447 |
Mailing Address |
153 Cesar Chavez St Saint Paul MN 55107-2226 |
Practice Telephone | 6516907667 |
Practice Fax Number | 6516907670 |
Mailing Telephone | 6512221816 |
Mailing Fax Number | 6512221305 |
Enumeration Date | 2007-08-21 |
Last Update Date | 2008-06-18 |
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 | 302663000 | 05 | |
MN | UCARE | 103124 | 01 |
Other Name | Type Code |
---|---|
Highland Park Jr/SR HS Clinic | Other Name - Individual/Organization |
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 |
1649394727 | West Side Community Health Services, Inc. | Clinic/Center | 30 Baker St E, Saint Paul, MN 55107-2966 | 2007-03-16 |
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 |
Street Address |
1015 SNELLING AVE S |
City | SAINT PAUL |
State | MN |
Zip Code | 55116-2447 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568017374 | The Bridge Autism Clinic LLC | Clinic/Center | 690 Cleveland Ave South, Suite 100, St Paul, MN 55116 | 2019-08-08 |
1205306875 | Center for Validation and Change, L.L.C. | Social Worker | 790 Cleveland Avenue S. Ste; 211 790, St. Paul, MN 55116 | 2018-11-27 |
1114391307 | Therese Ann Wengler | Rehabilitation Hospital | 1206 Niles Avenue, Saint Paul, MN 55116 | 2015-11-25 |
1306220579 | Lauren Ann Wier | Social Worker | 577 Wawick St, Saint Paul, MN 55116 | 2015-07-16 |
1982097325 | Norah Hoverson | Dentist | 670 Cleveland Ave S Ste 100, Saint Paul, MN 55116 | 2015-03-10 |
1316336803 | Ryan W. Nolte | Chiropractor | 1150 Montreal Ave Ste 101, Saint Paul, MN 55116 | 2015-01-21 |
1316348642 | Highland Gw, LLC | Assisted Living Facility | 1925 Graham Avenue, St. Paul, MN 55116 | 2014-09-05 |
1972941185 | Creations Midwifery, LLC | Advanced Practice Midwife | 1235 Saint Paul Avenue, Saint Paul, MN 55116 | 2013-06-10 |
1992075428 | Nels Health Care, LLC | Licensed Practical Nurse | 2285 Stewart Ave, Suite 1107, St Paul, MN 55116 | 2011-12-30 |
1962717728 | Lindsey Hammond Teigland | Psychologist | 690 Cleveland Avenue South, St. Paul, MN 55116 | 2010-08-17 |
Find all providers in zip 55116 |
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 |
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 |
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 |
City | SAINT PAUL |
Zip Code | 55116 |
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.