340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CH05302V WEST SIDE COMMUNITY HEALTH SERVICES, INC. (Terminated)
Print
Main Details
Name
WEST SIDE COMMUNITY HEALTH SERVICES, INC.
Subdivision Name
DOROTHY DAY CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-006051
340B ID
CH05302V
Grant Number
H80CS00790
Additional Details
Current Program Status
Terminated
Registration Date
2/25/2010
Participating Start Date
4/1/2010
Participating Approval Date
3/10/2010
Last Recertification Date
2/2/2017
Termination Date
Termination Reason
4/1/2018
Failure to recertify
Contacts
Authorizing Official
JAESON FOURNIER, CEO
(651) 602-7536
Primary Contact
JAESON FOURNIER, CEO
(651) 602-7536
Addresses
Street Address
183 Old 6th St W
Saint Paul, MN 55102-1026
Billing Address
WEST SIDE COMMUNITY HEALTH SERVICES, INC.
153 CESAR CHAVEZ STREET
ST PAUL, MN 55107
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
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