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Organization

WEST SIDE COMMUNITY HEALTH SERVICES, INC

Active
Other names
Downtown Clinic, Dorothy Day Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
REUBEN MOORE (EXECUTIVE DIRECTOR)
(651) 602-7500
Entity
Organization

Contact information

Practice address
424 DOROTHY DAY PL, SAINT PAUL, MN 55102-1025
(651) 602-7500
(651) 602-7500
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
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
106738
UCARE
MN
05
193905100
MN
Enumeration date
01/16/2007
Last updated
12/18/2025
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