NPIMap

Organization Active NPI

West Side Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Farmington, MN
National Provider Identifier
1174284699
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WEST SIDE COMMUNITY HEALTH SERVICES, INC
Practice address
19685 Pilot Knob Rd
Farmington, MN 55024-7238
Phone
(651) 602-7500
Fax
(651) 222-1305
NPI assigned
Jan 6, 2022
Last updated
Mar 30, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
WEST SIDE COMMUNITY HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christie Jansen
Title
Vice President of Finance
Phone
(651) 602-7537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

19685 Pilot Knob Rd
Farmington, MN 55024-7238

Mailing address

380 E Lafayette Frontage Rd Ste 200
Saint Paul, MN 55107-1216
Phone (651) 602-7552

Other names 1

  • Farmington Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
West Side Community Health Service Inc22 organizations share this tax ID, including this one
Part of
West Side Community Health Service Inc

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1174284699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E LAFAYETTE FRONTAGE RD STE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551071216",
            "telephone_number": "651-602-7552",
            "fax_number": "651-222-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19685 PILOT KNOB RD",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550247238",
            "telephone_number": "651-602-7500",
            "fax_number": "651-222-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SIDE COMMUNITY HEALTH SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST SIDE COMMUNITY HEALTH SERVICES",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "JANSEN",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "651-602-7537"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmington Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Farmington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.