Southside Community Health Services, Inc.
NPI 1578680872 · Family Medicine Physician · Stillwater, MN
Southside Community Health Services, Inc. is a Family Medicine Physician organization in Stillwater, MN (NPI 1578680872).
Provider details
- NPI number
- 1578680872
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Tendle, Executive Director(612) 821-2800
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Other name
- St. Croix Family Medical Clinic
Registry dates
- Enumerated
- 2007-03-23
- Last updated
- 2014-04-30
Frequently asked questions
- What is Southside Community Health Services, Inc.'s NPI number?
- Southside Community Health Services, Inc.'s National Provider Identifier (NPI) is 1578680872, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Community Health Services, Inc.?
- Southside Community Health Services, Inc. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Southside Community Health Services, Inc. located?
- Southside Community Health Services, Inc.'s practice location on file with NPPES is 5640 Memorial Ave N, Stillwater, MN 55082-2166.
- What is Southside Community Health Services, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Southside Community Health Services, Inc. is (651) 430-1880.
- Who is the authorized official for Southside Community Health Services, Inc.?
- The authorized official listed on Southside Community Health Services, Inc.'s NPPES record is William Tendle, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Community Health Services, Inc.'s NPI active?
- Yes — Southside Community Health Services, Inc.'s NPI (1578680872) is active in the NPPES registry as of the last update on 2014-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.