Organization
WEST SIDE COMMUNITY HEALTH SERVICES, INC.
Active
Organization
WEST SIDE COMMUNITY HEALTH SERVICES, INC.
Active
Parent organization
WEST SIDE COMMUNITY HEALTH SERVICES
Other names
Creative Arts Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST SIDE COMMUNITY HEALTH SERVICES
Authorized official
REUBEN MOORE (CEO)
(651) 602-7537
Entity
Organization
Contact information
Practice address
65 KELLOGG BLVD E, SAINT PAUL, MN 55101-1106
(651) 602-7500
(651) 602-7580
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
03/29/2019
Last updated
07/08/2025
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