Organization
WEST SIDE COMMUNITY HEALTH SERVICES, INC.
Active
Parent organization
WEST SIDE COMMUNITY HEALTH SERVICES, INC.
Other names
MINNESOTA COMMUNITY CARE MBC - St. Paul
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST SIDE COMMUNITY HEALTH SERVICES, INC.
Authorized official
ERIC WILLIAM HANSON (REV DATA & CREDENTIALING MANAGER)
(651) 389-2560
Entity
Organization
Contact information
Practice address
624 SMITH AVE S, SAINT PAUL, MN 55107-2620
(651) 602-7500
(651) 602-7580
Mailing address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 602-7500
(651) 602-7580
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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