WEST SIDE COMMUNITY HEALTH SERVICES, INC. (NPI# 1881718971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881718971 |
| Entity Type | Organization |
| Organization Name | WEST SIDE COMMUNITY HEALTH SERVICES, INC. |
| Other Organization Name | ANNE PIERCE PROGRAM |
| Practice Address |
980 9th Ave S Saint Paul Park MN 55071-1436 |
| 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 | 2007-03-16 |
| 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 | 280002000 | 05 |
| Other Name | Type Code |
|---|---|
| Anne Pierce Program | 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 |
| 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 |
| 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 |
980 9TH AVE S |
| City | SAINT PAUL PARK |
| State | MN |
| Zip Code | 55071-1436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851635973 | Jill Ellingson | Marriage & Family Therapist | 445 Broadway Ave Ste A, St Paul Park, MN 55071 | 2012-11-15 |
| 1750615779 | Alternative Home Care Solutions LLC | Home Health | 1648 Dixon Dr, St Paul Park, MN 55071-1237 | 2009-09-23 |
| 1588108914 | Rebecca Jean Meyer | Counselor | 1513 10th Ave, Saint Paul Park, MN 55071-1302 | 2016-12-04 |
| 1356993125 | Jennifer Sue Johnson | Counselor | 1513 10th Ave, St Paul Park, MN 55071-1302 | 2019-07-11 |
| 1518422757 | Gentle Comfort Home Care LLC | In Home Supportive Care | 1115 Summit Ave, Saint Paul Park, MN 55071-1443 | 2019-02-01 |
| 1902403942 | Kaitlyn Pijanowski | Counselor | 445 Broadway Ave Ste A, St Paul Park, MN 55071-1554 | 2020-10-02 |
| 1053824391 | Nikki Donnella Divirgilio | Social Worker | 445 Broadway Ave Ste A, St Paul Park, MN 55071-1554 | 2017-11-08 |
| 1457724205 | Brave Soul Counseling Services | Marriage & Family Therapist | 445 Broadway Ave Ste A, St Paul Park, MN 55071-1554 | 2015-11-02 |
| 1720402621 | Natural Science Academy | Local Education Agency (LEA) | 920 Holley Ave Ste 3, St Paul Park, MN 55071-1558 | 2014-02-12 |
| 1811330103 | Gia Rendon | Physician Assistant | 301 Saint Paul Park Rd, St Paul Park, MN 55071-1583 | 2013-04-17 |
| Find all providers in zip 55071 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1730707084 | Rural Health Care, Inc. | Clinic/Center | 201 N St Paul Ave Ste 1, Fulda, MN 56131-3004 | 2020-07-13 |
| 1205397395 | Health Start Sbc Creative Arts | Clinic/Center | 65 Kellogg Blvd E, Saint Paul, MN 55101-1106 | 2019-03-29 |
| 1982162434 | Family Health Care Center | Clinic/Center | 1104 7th Ave S # 92, Moorhead, MN 56563-0001 | 2019-03-04 |
| 1760949168 | Indian Health Board of Minneapolis, Inc | Clinic/Center | 2101 Minnehaha Avenue South, Minneapolis, MN 55404-3107 | 2019-02-22 |
| 1891266862 | Hennepin County | Clinic/Center | 41 N 12th St., Minneapolis, MN 55403-1325 | 2018-12-17 |
| 1700357779 | Hennepin County | Clinic/Center | 2211 Clinton Ave, Minneapolis, MN 55404-3656 | 2018-12-17 |
| 1487125597 | Hennepin County | Clinic/Center | 215 S 8th St, Minneapolis, MN 55402-2803 | 2018-12-16 |
| 1992276000 | Hennepin County | Clinic/Center | 2740 1st Ave S, Minneapolis, MN 55408-1611 | 2018-12-16 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL PARK |
| Zip Code | 55071 |
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| 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.