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CH05302AA WEST SIDE COMMUNITY HEALTH SERVICES, INC. (Active)
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Main Details
Name
WEST SIDE COMMUNITY HEALTH SERVICES, INC.
Subdivision Name
MN Community Care - Downtown Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-029985
340B ID
CH05302AA
Grant Number
H80CS00790
Additional Details
Current Program Status
Active
Registration Date
5/31/2018
Participating Start Date
7/1/2018
Participating Approval Date
6/4/2018
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
424 Dorothy Day Pl
Saint Paul, MN 55102
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
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