West Side Community Health Services, Inc. in Saint Paul - Federally Qualified Health Center (fqhc)
West Side Community Health Services, Inc. - NPI 1104977255
West Side Community Health Services, Inc. is a Federally Qualified Health Center (fqhc) in Saint Paul, Minnesota. West Side Community Health Services, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for West Side Community Health Services, Inc. is 1104977255. The last update date is 2008-06-18.
West Side Community Health Services, Inc.'s current location address is 435 University Ave E, Saint Paul, Minnesota. You can contact this provider via phone number 6512906814 and fax number 6512906818. The mailing address for West Side Community Health Services, Inc. is 435 University Ave E, Saint Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | West Side Community Health Services, Inc. |
|---|---|
| Address | 435 University Ave E, Saint Paul, Minnesota |
| Phone Number | 6512906814 |
| Fax Number | 6512906818 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Brehm Carol Mavis |
| Telephone Number | 6516027536 |
NPI Number Detail
| NPI Number | 1104977255 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2008-06-18 |
Provider Mailing Address Detail
| Address | 435 University Ave E |
|---|---|
| City | Saint Paul |
| State | Minnesota (MN) |
| Post Code | 551014437 |
| Phone Number | 6512906814 |
| Fax Number | 6512906818 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 76982000 | MN | -- | |
| 106738 | MN | UCARE |
Post Comment/ Review Below
What is the unique identification code assigned to West Side Community Health Services, Inc. by the Centers for Medicare & Medicaid Services?
The West Side Community Health Services, Inc. has been issued the NPI (National Provider Identifier) 1104977255. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where West Side Community Health Services, Inc. is physically located?
The West Side Community Health Services, Inc. is physically situated at the following address: 435 University Ave E, Saint Paul, MN, 551014437.
What is West Side Community Health Services, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for West Side Community Health Services, Inc. is Federally Qualified Health Center (fqhc), and the taxonomy classification code that categorizes this area of expertise is 261Qf0400X.
On what date did West Side Community Health Services, Inc. receive its 1104977255 assignment from the Centers for Medicare & Medicaid Services?
The West Side Community Health Services, Inc. was assigned its 1104977255 on 2007-01-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding West Side Community Health Services, Inc. most recently updated?
The details pertaining to the West Side Community Health Services, Inc., including its address, specialty, and other relevant information, were last refreshed on 2008-06-18.
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