Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southside Community Health Services, Inc

Organization Family Medicine Physician · NPI 1578680872

Southside Community Health Services, Inc provides Family Medicine Physician services 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.

See every abbreviation used in this directory →

Practice location Address checks out

5640 Memorial Ave N Ste B
Stillwater, MN 55082-2166 Not confirmed with CMS for 12 years — call before visiting
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

Other providers in Stillwater