Organization
WEST SIDE COMMUNITY HEALTH SERVICES, INC.
Active
Parent organization
WEST SIDE COMMUNITY HEALTH SERVICES, INC.
Other names
St Paul Wellness Center
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
45 10TH ST W, SAINT PAUL, MN 55102-1062
(651) 602-7500
(651) 222-1305
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
04/13/2022
Last updated
05/15/2024
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