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 1679690952

Southside Community Health Services, Inc provides Family Medicine Physician services in Minneapolis, 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

1000 E Lake St
Minneapolis, MN 55407-1617
Phone: (612) 822-9030
Fax: (612) 821-2818
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 number1679690952
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ann Cazaban — Executive Director · (612) 827-7181
Other names Southside Vision Clinic
NPI enumeratedMarch 23, 2007
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026
Mailing address4243 4th Ave S, Minneapolis, MN 55409-2113

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