Organization · Type 2 NPI
West Side Community Health Services, Inc
Federally Qualified Health Center (FQHC) · St. Paul, MN
NPI number
1194902072
Active
Practice location
1212 University Ave W
St. Paul, MN 55104-4123
Fax (651) 602-7517
Mailing address
153 Cesar Chavez St
St. Paul, MN 55107-2226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1194902072
West Side Community Health Services, Inc's National Provider Identifier is 1194902072, issued on Jan 23, 2008. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in St. Paul, MN. The record was last updated on May 15, 2024.