OrganizationActive
West Side Community Health Services, Inc.
NPI 1982346409 · Federally Qualified Health Center (FQHC) · Saint Paul, MN
Provider details
- NPI number
- 1982346409
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- West Side Community Health Services, Inc.
- Organization subpart
- Yes
- Authorized official
- Reuben Moore, Ceo(651) 602-7500
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
45 10th St W
Saint Paul, MN 55102-1062
Phone: (651) 602-7500
Fax: (651) 222-1305
Approximate (ZIP-level) locationGet directions
Mailing address
153 Cesar Chavez St
Saint Paul, MN 55107-2226
Other names (DBA / former)
- Other name
- St Paul Wellness Center
- Other name
- St Paul Wellness Center
Registry dates
- Enumerated
- 2022-04-13
- Last updated
- 2024-05-15
- Certified
- 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.