Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southside Community Health Services, Inc

Organization Family Medicine Physician · NPI 1578680872

Southside Community Health Services, Inc is a Family Medicine Physician in Stillwater, Minnesota. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5640 Memorial Ave N Ste B
Stillwater, MN 55082-2166
Phone: (651) 430-1880
Fax: (651) 430-1323
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1578680872
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Tendle — Executive Director · (612) 821-2800
Other names St. Croix Family Medical Clinic
NPI enumeratedMarch 23, 2007
Last updated in NPPESApril 30, 2014
Mailing address4243 4th Ave S, Minneapolis, MN 55409-2113

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