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CH053020 WEST SIDE COMMUNITY HEALTH SERVICES, INC. (Active)
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Main Details
Name
WEST SIDE COMMUNITY HEALTH SERVICES, INC.
Subdivision Name
WESTSIDE COMMUNITY HEALTH SERVICES, INC.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000234
340B ID
CH053020
Grant Number
H80CS00790
Additional Details
Current Program Status
Active
Registration Date
1/1/1997
Participating Start Date
1/1/1997
Participating Approval Date
4/29/2005
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
West Side Community Health Services
Reuben Moore, President and Executive Officer
(651) 602-7536
Primary Contact
West Side Community Health Services
Kenneth Scott Nelson, Director of Pharmacy
(715) 566-0729
Addresses
Street Address
153 Cesar Chavez St
Saint Paul, MN 55107-2226
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/18/08 REMOVED SUBDIV NAME (WAS NEIGHBORHOOD PHARMACY CARE NETWORK); 4/29/05 UPDATED ADDR (WAS 153 CONCORD STREET)
01/14/2010
April 2025
April 2025
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