WEST SIDE COMMUNITY HEALTH SERVICES INC NPI 1295886208

NPI Information

NPI: 1295886208
Provider Name: WEST SIDE COMMUNITY HEALTH SERVICES, INC

Doing Business As: DOROTHY DAY CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
183 OLD SIXTH STREET
SAINT PAUL, MN
ZIP 55102
Phone: (651) 290-6814
Get Directions

WEST SIDE COMMUNITY HEALTH SERVICES, INC is a federally qualified health center (fqhc) clinic center in Saint Paul, MN. WEST SIDE COMMUNITY HEALTH SERVICES, INC NPI is 1295886208. The provider is registered as an organization entity type.
The provider Is Doing Business As Dorothy Day Clinic.

The provider's business location address is:

183 OLD SIXTH STREET
SAINT PAUL, MN
ZIP 55102-026
Phone: (651) 290-6814
Fax: (651) 290-6818

The provider's authorized official is Mavis Carol Brehm .
The authorized official title is Executive Director and has the following contact phone number (651) 602-7536.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 12/26/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C00143	MEDICARE PIN	MINNESOTA
2	106738	OTHER	MINNESOTA	UCARE
3	241823	MEDICARE OSCAR/CERTIFICATION	MINNESOTA
4	193905100	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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