Organization
WEST SIDE COMMUNITY HEALTH SERVICES, INC
Active
Other names
Gordon Parks Area Learning Center(ALC)
Organization subpart
No
Provider details
NPI number
Authorized official
REUBEN MOORE (CEO)
(651) 602-7500
Entity
Organization
Contact information
Practice address
1212 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4123
(651) 293-5900
(651) 602-7517
Mailing address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 602-7500
(651) 602-7513
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/23/2008
Last updated
05/15/2024
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