Organization
WEST SIDE COMMUNITY HEALTH SERVICES, INC
Active
Parent organization
WEST SIDE COMMUNITY HEALTH SERVICES
Other names
Farmington Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST SIDE COMMUNITY HEALTH SERVICES
Authorized official
CHRISTIE JANSEN (VICE PRESIDENT OF FINANCE)
(651) 602-7537
Entity
Organization
Contact information
Practice address
19685 PILOT KNOB RD, FARMINGTON, MN 55024-7238
(651) 602-7500
(651) 222-1305
Mailing address
380 E LAFAYETTE FRONTAGE RD STE 200, SAINT PAUL, MN 55107-1216
(651) 602-7552
(651) 222-1305
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
03/30/2022
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