Westside Community Health Services Pharmacy
LBN: West Side Community Health Services Inc
Westside Community Health Services Pharmacy is an health care organization with primary practice located at 153 Cesar Chavez St , Saint Paul MN 55107-2226. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty.
West Side Community Health Services Inc can be contacted via phone (651) 602-7589, or through Killelea, Dirk via phone (651) 389-2415.
Contact Information
Primary practice address
153 Cesar Chavez St
Saint Paul MN 55107-2226
Phone: (651) 602-7589
Fax: (651) 602-7502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | 262084 | Minnesota |
Profile Details
| NPI number | 1114069911 |
|---|---|
| LBN Legal business name | West Side Community Health Services Inc |
| DBA Doing business as | Westside Community Health Services Pharmacy |
| Authorized official | Killelea, Dirk PHARM D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Jul 19th, 2018 - about 6 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 | 1114069911 | NPPES |
| Other | 2048314 | PK | |
| MEDICAID | 836253000 | PK |
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