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SOUTHSIDE COMMUNITY HEALTH SERVICES, INC.
NPI 1538137757
Clinic/Center - Federally Qualified Health Center (FQHC) in Minneapolis, MN

Active since March 14, 2006
1000 E LAKE ST, MINNEAPOLIS, MN 55407(612) 827-7181(612) 767-4545 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 7, 2026, Dec 10, 2024, Jul 10, 2023 (3 updates tracked since 2023).

About Southside Community Health Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHSIDE COMMUNITY HEALTH SERVICES, INC. (NPI 1538137757) is a healthcare organization registered as a federally qualified health center (fqhc) in Minneapolis, Minnesota and active in the NPI registry since March 2006. The organization lists Ann Cazaban, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1538137757
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTHSIDE COMMUNITY HEALTH SERVICES, INC.
Location Address1000 E LAKE STMinneapolis, MN 55407-1617
Mailing Address4243 4th Ave SMinneapolis, MN 55409-2113 · (612) 821-2799 · Fax (612) 821-2818
Phone(612) 827-7181
Fax(612) 767-4545
Organization SubpartNo
Authorized OfficialAnn CazabanExecutive Director · (612) 821-2025
Enumeration DateMarch 14, 2006
Last NPPES UpdateAugust 7, 20263 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1538137757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedFamily MedicineTaxonomy 207Q00000X
1000 E LAKE ST, Minneapolis, MN 55407
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Other Names 1

Other NameSouthside Medical Clinic

Other Identifiers 1

Medicaid343814700MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southside Community Health Services, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southside Community Health Services, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Victoria Valena, APRN, CNP
Nurse Practitioner
NPI 1851360671
7430 WENTWORTH AVE
Richfield, MN 55423
(612) 488-0040
✔ PECOS✔ Accepts Medicare5.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southside Community Health Services, Inc.'s NPI number?

The NPI number for Southside Community Health Services, Inc. is 1538137757. It was assigned to this organization in the NPPES registry on March 14, 2006. The provider is also known as Southside Medical Clinic.

Where is Southside Community Health Services, Inc. located?

Southside Community Health Services, Inc. is located at 1000 E Lake St, Minneapolis, MN 55407. The listed phone number is (612) 827-7181.

What is Southside Community Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Southside Community Health Services, Inc. enrolled in Medicare?

Yes. Southside Community Health Services, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southside Community Health Services, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Southside Community Health Services, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southside Community Health Services, Inc. was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.