Southside Medical Clinic

LBN: Southside Community Health Services, Inc.
Southside Medical Clinic is an health care organization with primary practice located at 324 E 35Th St , Minneapolis MN 55408-4580. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Southside Community Health Services, Inc. can be contacted via phone (612) 827-7181, or through Cazaban, Ann via phone (612) 821-2025.

Contact Information

Primary practice address
324 E 35Th St Minneapolis MN 55408-4580
Phone: (612) 827-7181
Fax: (612) 827-6403
Website:
Map and Directions
Authorized official contact:
Name: Cazaban, Ann
Phone: (612) 821-2025

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1538137757
LBN Legal business name Southside Community Health Services, Inc.
DBA Doing business as Southside Medical Clinic
Authorized official Cazaban, Ann
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 10th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538137757 NPPES
Minnesota MEDICAID 343814700

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