OrganizationActive
West Side Community Health Services, Inc.
NPI 1104977255 · Federally Qualified Health Center (FQHC) · Saint Paul, MN
Provider details
- NPI number
- 1104977255
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Authorized official
- Reuben Moore, Ceo
Practice location
435 University Ave E
Saint Paul, MN 55101-4437
Phone: (651) 290-6814
Fax: (651) 602-7580
Mailing address
153 Cesar Chavez St
Saint Paul, MN 55107-2226
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2025-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.