Organization · Type 2 NPI

West Side Community Health Services, Inc.

Federally Qualified Health Center (FQHC) · Minneapolis, MN

NPI number 1336015304 Active

Practice location

2606 Chicago Ave
Minneapolis, MN 55407-3706

Call (651) 602-7500 Map

Fax (651) 602-7580

Mailing address

153 Cesar Chavez St
St. Paul, MN 55107-2226

Other practice locations

624 Smith Ave S, St. Paul, MN 55107-2620 · (651) 602-7500

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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NPI record

NPI: 1336015304
Entity type: Organization (Type 2)
Issued: Oct 15, 2025
Last updated: Oct 21, 2025
Status: Active
Subpart: Yes of West Side Community Health Services, Inc.

Other names

Minnesota Community Care MBC - Minneapolis · doing business as

Authorized official

Eric William Hanson
Rev Data & Credentialing Manager
(651) 389-2560

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1336015304

West Side Community Health Services, Inc.'s National Provider Identifier is 1336015304, issued on Oct 15, 2025. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 21, 2025.