OrganizationActive
West Side Community Health Services, Inc.
NPI 1205397395 · Federally Qualified Health Center (FQHC) · Saint Paul, MN
Provider details
- NPI number
- 1205397395
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- West Side Community Health Services
- Organization subpart
- Yes
- Authorized official
- Reuben Moore, Ceo(651) 602-7537
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
65 Kellogg Blvd E
Saint Paul, MN 55101-1106
Phone: (651) 602-7500
Fax: (651) 602-7580
Approximate (ZIP-level) locationGet directions
Mailing address
153 Cesar Chavez St
Saint Paul, MN 55107-2226
Other names (DBA / former)
- Doing business as
- Creative Arts Clinic
Registry dates
- Enumerated
- 2019-03-29
- Last updated
- 2025-07-08
- Certified
- 2025-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.