DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SOUTHSIDE COMMUNITY HEALTH SERVICES, INC.

MEDICARE: SOUTHSIDE COMMUNITY HEALTH SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679690952
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHSIDE COMMUNITY HEALTH SERVICES, INC.
Provider Business Mailing Address
First Line : 4243 4TH AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55409-2113
Country : US
Telephone Number : 612-821-2003
Fax Number : 612-821-2818
Provider Business Practice Location Address
First Line : 4243 4TH AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55409-2113
Country : US
Telephone Number : 612-822-9030
Fax Number : 612-821-2818
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : ANN CAZABAN
Credential :
Telephone Number : 612-827-7181
Provider Enumeration Date : 03/23/2007
Last Update Date : 01/05/2026

Similar Medicare Providers

1083680599 — DR. MARK T MCDERMOTT OD
Practice Location Address:
4243 4TH AVE S
MINNEAPOLIS, MN
55409-2113
Practice Phone: 612-821-2003
Practice Fax: 612-821-2818
1528090420 — MICHELLE ELIZABETH TAYLOR O.D.
Practice Location Address:
4243 4TH AVE S
MINNEAPOLIS, MN
55409-2113
Practice Phone: 612-821-2003
Practice Fax:
1992822290 — SOUTHSIDE COMMUNITY HEALTH SERVICES, INC.
Practice Location Address:
4243 4TH AVE S
MINNEAPOLIS, MN
55409-2113
Practice Phone: 612-822-9030
Practice Fax: 612-821-2818
1790805109 — DR. RYAN LLOYD LINDNER DDS
Practice Location Address:
4243 4TH AVE S
MINNEAPOLIS, MN
55409-2113
Practice Phone: 612-822-9030
Practice Fax: 612-821-2818
1386867992 — DR. MARIA KATALINA ZUNIGA-BRENES DDS
Practice Location Address:
4243 4TH AVE S
MINNEAPOLIS, MN
55409-2113
Practice Phone: 612-822-9030
Practice Fax: 612-821-2818
1184847709 — GAURANG BHARATKUMAR BHATT DDS
Practice Location Address:
4243 4TH AVE S
MINNEAPOLIS, MN
55409-2113
Practice Phone: 612-822-9030
Practice Fax: 612-821-2818

Directions to “SOUTHSIDE COMMUNITY HEALTH SERVICES, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.