Southside Community Health Services Inc
A Medicare group practice based in Minneapolis, MN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8921027228), with 2 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8921027228
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC)
- Enrolled in
- MN
- Enrollments
- 2
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20100805000231 | MN | Part A Provider - Federally Qualified Health Center (FQHC) | 1538137757 |
| O20100622000332 | MN | Part A Provider - Federally Qualified Health Center (FQHC) | 1679690952 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Southside Community Health Services, Inc.
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1538137757
-
Southside Community Health Services, Inc.
- Family Medicine Physician
- Minneapolis, MN
- NPI 1679690952
Practice locations
- Minneapolis, MN2
Clinicians 2
Clinicians who reassign their Medicare benefits to this group (0) or whom Care Compare lists as members (2).
-
Elaine Catherine Gupta, NP
- Adult Health Nurse Practitioner
- Minneapolis, MN
- NPI 1790376390
-
Molly Meierding
- Mental Health Counselor
- Minneapolis, MN
- NPI 1548824915
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.