Highland Park Jr/Sr Hs Clinic
LBN: West Side Community Health Services, Inc.
Highland Park Jr/Sr Hs Clinic is an health care organization with primary practice located at 1015 Snelling Ave S , Saint Paul MN 55116-2447. 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) 690-7667, or through Moore, Reuben via phone (651) 602-7500.
Contact Information
Primary practice address
1015 Snelling Ave S
Saint Paul MN 55116-2447
Phone: (651) 690-7667
Fax: (651) 690-7670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | Minnesota |
Profile Details
| NPI number | 1407049653 |
|---|---|
| LBN Legal business name | West Side Community Health Services, Inc. |
| DBA Doing business as | Highland Park Jr/Sr Hs Clinic |
| Authorized official | Moore, Reuben |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 21st, 2007 |
| Last updated | May 15th, 2024 - about 6 months 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 | 1407049653 | NPPES |
| Minnesota | Other | 103124 | UCARE |
| Minnesota | MEDICAID | 302663000 | UCARE |
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