Southside Community Health Services, Inc.

  • 1578680872 NPI Number
  • |
  • Actived: 12 years ago
  • |
According to our database, NPI number for Southside Community Health Services, Inc. is 1578680872 and actived since Friday, March 23 2007. Southside Community Health Services, Inc. is an Organization provider specializes in Family Medicine. Provider information was last updated on 04/30/2014.

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Overview of Southside Community Health Services, Inc.

  • NPI number: 1932755626
  • Provider type: Organization
  • Specialty: Family Medicine
  • Active since: 03/23/2007
  • Last updated: 04/30/2014

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 4243 4th Ave S
    Minneapolis, MN 55409
  • Phone: 612-822-9030
  • Fax: 612-821-2818

Provider Practice Location

  • Address: 5640 Memorial Ave N
    Suite B
    Stillwater, MN 55082
  • Phone: 651-430-1880
  • Fax: 651-430-1323

Authorized Official

  • Name: William Henry Tendle JR.
  • Position/Title: Executive Director
  • Telephone Number: 612-821-2800

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number:
  • License State:
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 943170500
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MN
  • Issuer:

Question & Answers

What is the npi number?

  • Q: What is the npi number for Southside Community Health Services, Inc.?
  • A: The npi number for Southside Community Health Services, Inc. is 1578680872.
  • Q: What are Southside Community Health Services, Inc.'s specialties?
  • A: Southside Community Health Services, Inc.'s specialties are Family Medicine and different specialities.
  • Q: Where is Southside Community Health Services, Inc. business practice location?
  • A: Southside Community Health Services, Inc. business practice location is 5640 Memorial Ave N, Stillwater, MN 55082.
  • Q: How to contact Southside Community Health Services, Inc.?
  • A: You can contact Southside Community Health Services, Inc. via 651-430-1880.
  • Q: What is the authorized official for Southside Community Health Services, Inc.?
  • A: The authorized office name is William Henry Tendle JR. with position/title is Executive Director and you can reach the authorized official via phone number 6128212800.