Organization
WEST SIDE COMMUNITY HEALTH SERVICES, INC.
Active
Parent organization
WEST SIDE COMMUNITY HEALTH SERVICES, INC.
Other names
East Side Family Dental Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST SIDE COMMUNITY HEALTH SERVICES, INC.
Authorized official
REUBEN MOORE (CEO)
(651) 602-7500
Entity
Organization
Contact information
Practice address
895 E. 7TH ST, ST PAUL, MN 55106-3852
(651) 772-9757
(651) 772-9959
Mailing address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 602-7500
(651) 602-7513
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
302133
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
955353300
—
MN
Enumeration date
01/16/2007
Last updated
05/15/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us