340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CH05696B SOUTHSIDE COMMUNITY HEALTH SERVICES (Active)
Print
Main Details
Name
SOUTHSIDE COMMUNITY HEALTH SERVICES
Subdivision Name
Southside Medical Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001299
340B ID
CH05696B
Grant Number
H80CS00198
Additional Details
Current Program Status
Active
Registration Date
1/1/2005
Participating Start Date
1/1/2005
Participating Approval Date
11/7/2004
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Southside Community Health Services
Ann Cazaban, Executive Director
(612) 821-2025
Primary Contact
Southside Community Health Services
Raul Noriega, Medical Clinic Operations Manager
(612) 821-2548
Addresses
Street Address
324 E 35TH STREET
MINNEAPOLIS, MN 55408
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
NEW SITE 01/01/2005
01/01/2005
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session