OrganizationActive
West Side Community Health Services, Inc.
NPI 1821149964 · Federally Qualified Health Center (FQHC) · Saint Paul, MN
Provider details
- NPI number
- 1821149964
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Reuben Moore, Ceo(651) 602-7500
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1544 Timberlake Rd
Saint Paul, MN 55117-3946
Phone: (651) 558-2191
Fax: (651) 558-2205
Approximate (ZIP-level) locationGet directions
Mailing address
153 Cesar Chavez St
Saint Paul, MN 55107-2226
Other names (DBA / former)
- Doing business as
- Mcdonough Homes Clinic
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2024-05-15
- Certified
- 2024-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.