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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOUTHSIDE COMMUNITY HEALTH SERVICES, INC.
NPI 1679690952
Family Medicine in Minneapolis, MN

Active since March 23, 2007
1000 E LAKE ST, MINNEAPOLIS, MN 55407(612) 822-9030(612) 821-2818 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2026, Jan 5, 2026 (2 updates tracked since 2026).

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 1679690952) is a healthcare organization registered as a family medicine in Minneapolis, Minnesota and active in the NPI registry since March 2007. The organization lists Ann Cazaban, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1679690952
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTHSIDE COMMUNITY HEALTH SERVICES, INC.
Location Address1000 E LAKE STMinneapolis, MN 55407-1617
Mailing Address4243 4th Ave SMinneapolis, MN 55409-2113 · (612) 821-2003 · Fax (612) 821-2818
Phone(612) 822-9030
Fax(612) 821-2818
Organization SubpartNo
Authorized OfficialAnn CazabanExecutive Director · (612) 827-7181
Enumeration DateMarch 23, 2007
Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1679690952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1000 E LAKE ST, Minneapolis, MN 55407
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Other Names 1

Other NameSouthside Vision Clinic

Other Identifiers 1

Medicaid515753600MN

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW JON STARK DDS
Dentist
1000 E LAKE ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 821-2017
SOUTHSIDE COMMUNITY HEALTH SERVICES, INC.
Dentist
1000 E LAKE ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 822-9030
LAHIRI VILAS NAIKWAD
Dentist (General Practice)
1000 E LAKE ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 827-7181
SOUTHSIDE COMMUNITY HEALTH SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1000 E LAKE ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 827-7181

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 1679690952. It was assigned to this organization in the NPPES registry on March 23, 2007. The provider is also known as Southside Vision 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) 822-9030.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Southside Community Health Services, Inc. accept?

Health plans from Medica list Southside Community Health Services, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 5 days 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.