OrganizationActive
Southside Community Health Services, Inc.
NPI 1538137757 · Federally Qualified Health Center (FQHC) · Minneapolis, MN
Provider details
- NPI number
- 1538137757
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ann Cazaban, Executive Director(612) 821-2025
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
324 E 35th St
Minneapolis, MN 55408-4580
Phone: (612) 827-7181
Fax: (612) 827-6403
Street-level locationGet directions
Mailing address
4243 4th Ave S
Minneapolis, MN 55409-2113
Other names (DBA / former)
- Other name
- Southside Medical Clinic
- Other name
- Southside Medical Clinic
Registry dates
- Enumerated
- 2006-03-14
- Last updated
- 2024-12-10
- Certified
- 2024-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.