West Side Community Health Services, Inc | |
153 Cesar Chavez St Saint Paul MN 55107-2226 | |
(651) 222-1816 | |
(651) 602-7517 |
Full Name | West Side Community Health Services, Inc |
---|---|
Speciality | Clinic/Center |
Location | 153 Cesar Chavez St, Saint Paul, Minnesota |
Authorized Official Name and Position | Reuben Moore (CEO) |
Authorized Official Contact | 6516027500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
West Side Community Health Services, Inc 153 Cesar Chavez St Saint Paul MN 55107-2226 Ph: (651) 602-7500 | West Side Community Health Services, Inc 153 Cesar Chavez St Saint Paul MN 55107-2226 Ph: (651) 222-1816 |
NPI Number | 1437118619 |
---|---|
Provider Enumeration Date | 03/17/2006 |
Last Update Date | 05/15/2024 |
Medicare PECOS PAC ID | 2062306434 |
---|---|
Medicare Enrollment ID | O20061117000401 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437118619 | NPI | - | NPPES |
29548WE | Other | MN | BCBS |
109057 | Other | MN | HEALTHPARTNERS |
836253000 | Medicaid | MN | |
104403 | Other | MN | UCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 302133 (Minnesota) | Primary |
Premiere Mental Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Sherman St Ste 290, Saint Paul, MN 55102 Phone: 763-913-8125 |