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West Side Community Health Services, Inc.
Federally Qualified Health Center (FQHC) in Maplewood, Minnesota
NPI 1730203944

West Side Community Health Services, Inc. is a Federally Qualified Health Center (FQHC) based in Saint Paul, MN and is specialized in Federally Qualified Health Center (FQHC). West Side Community Health Services, Inc. practices in Maplewood, MN. The NPI Number for West Side Community Health Services, Inc. is 1730203944 and holds a License No. (Minnesota).

The current practice location address for West Side Community Health Services, Inc. is 2001 Van Dyke St, Maplewood, MN and can be reached out via phone at 651-290-6818 and via fax at 651-290-6818.

Location: 2001 Van Dyke St, Maplewood, MN, 55107-2226
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730203944
Provider Name
West Side Community Health Services, Inc.
Credential
Provider Entity Type
Organization
Address
2001 Van Dyke St, Maplewood, MN, 55107-2226
Phone Number
651-290-6818
Fax Number
651-290-6818
Provider Enumeration Date
03/16/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
310055100 05 MN
institution
Provider Business Practice Location Address Details
Address
2001 Van Dyke St
City
Maplewood
State
Minnesota
Zip
55109-3711
Phone Number
651-290-6818
Fax Number
651-290-6818
person
Provider Business Mailing Address Details
Address
2001 Van Dyke St
City
Maplewood
State
Minnesota
Zip
55109-3711
Phone Number
651-290-6818
Fax Number
651-290-6818
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
(Minnesota)
Definition
Definition to come...
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