Southside Community Health Services, Inc.
NPI 1578680872ActiveOrganization· Family Medicine· Stillwater, MN
Family Medicine in Stillwater, Minnesota, registered in NPPES in March 2007. The authorized official on file is William Henry Tendle, Executive Director.
Overview
| NPI | 1578680872 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 23, 2007 |
| Last updated in NPPES | Apr 30, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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