Guadalupe Alternative Program(Gap) Clinic
LBN: West Side Community Health Services, Inc.
Guadalupe Alternative Program(Gap) Clinic is an health care organization with primary practice located at 381 Robie St E , Saint Paul MN 55107-2415. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
West Side Community Health Services, Inc. can be contacted via phone (651) 602-7976, or through Brehm, Mavis Carol via phone (651) 602-7536.
Contact Information
Primary practice address
381 Robie St E
Saint Paul MN 55107-2415
Phone: (651) 602-7976
Fax: (651) 602-7977
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | Minnesota |
Profile Details
| NPI number | 1013100809 |
|---|---|
| LBN Legal business name | West Side Community Health Services, Inc. |
| DBA Doing business as | Guadalupe Alternative Program(Gap) Clinic |
| Authorized official | Brehm, Mavis Carol |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 24th, 2007 |
| Last updated | Jun 18th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013100809 | NPPES |
| Minnesota | MEDICAID | 863083600 | |
| Minnesota | Other | 103124 |
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