Organization
WEST SIDE COMMUNITY HEALTH SERVICES, INC
Active
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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