OrganizationActive
West Side Community Health Services, Inc
NPI 1194902072 · Federally Qualified Health Center (FQHC) · Saint Paul, MN
Provider details
- NPI number
- 1194902072
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Authorized official
- Reuben Moore, Ceo
Practice location
1212 University Ave W
Saint Paul, MN 55104-4123
Phone: (651) 293-5900
Fax: (651) 602-7517
Mailing address
153 Cesar Chavez St
Saint Paul, MN 55107-2226
Registry dates
- Enumerated
- 2008-01-23
- Last updated
- 2024-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.