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CH05302AD 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 - St. Paul Wellness Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-034433
340B ID
CH05302AD
Grant Number
H80CS00790
Additional Details
Current Program Status
Active
Registration Date
6/1/2022
Participating Start Date
7/1/2022
Participating Approval Date
6/1/2022
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
45 10th St W
Saint Paul, MN 55102-1062
Billing Address
West Side Community Health Services
153 Cesar Chavez St.
St. Paul, MN 55107
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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