West Side Dental Clinic
LBN: West Side Community Health Services, Inc.
West Side Dental Clinic is an health care organization with primary practice located at 478 Robert St S , Saint Paul MN 55107-2236. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty.
West Side Community Health Services, Inc. can be contacted via phone (651) 602-7575, or through Moore, Reuben via phone (651) 602-7500.
Contact Information
Primary practice address
478 Robert St S
Saint Paul MN 55107-2236
Phone: (651) 602-7575
Fax: (651) 602-7518
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Dental | 261QD0000X | 302133 | Minnesota |
Profile Details
NPI number | 1417007436 |
---|---|
LBN Legal business name | West Side Community Health Services, Inc. |
DBA Doing business as | West Side Dental Clinic |
Authorized official | Moore, Reuben |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 11th, 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 | 1417007436 | NPPES |
Minnesota | MEDICAID | 250711100 |
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