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Organization

SOUTHERN CITIES CLINIC

Active
Parent organization
SOUTHERN CITIES COMMUNITY HEALTH CLINIC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTHERN CITIES COMMUNITY HEALTH CLINIC
Authorized official
MELISSA ELLS PHARMD (EXECUTIVE DIRECTOR AMBULATORY SERVI)
(651) 539-7200
Entity
Organization

Contact information

Practice address
400 4TH ST NW STE A, FARIBAULT, MN 55021-5090
(507) 384-6830
(651) 431-7757
Mailing address
3200 LABORE RD STE 104, VADNAIS HEIGHTS, MN 55110-5186
(651) 539-7200
(651) 431-7505

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary

Other

Enumeration date
12/30/2025
Last updated
01/28/2026
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