WEST SIDE COMMUNITY HEALTH SERVICES, INC.
NPI 1104977255
Clinic/Center - Federally Qualified Health Center (FQHC) in Saint Paul, MN
About West Side Community Health Services, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WEST SIDE COMMUNITY HEALTH SERVICES, INC. (NPI 1104977255), doing business as Union Gospel Mission, is a healthcare organization registered as a federally qualified health center (fqhc) in Saint Paul, Minnesota and active in the NPI registry since January 2007. The organization lists Reuben Moore, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
West Side Community Health Services, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
101Medicare enrollment records show 101 clinicians reassign Medicare billing to West Side Community Health Services, Inc., which bills Medicare for the services they deliver. Of these, 73 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 101Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is West Side Community Health Services, Inc.'s NPI number?
The NPI number for West Side Community Health Services, Inc. is 1104977255. It was assigned to this organization in the NPPES registry on January 16, 2007. The provider is doing business as Union Gospel Mission.
Where is West Side Community Health Services, Inc. located?
West Side Community Health Services, Inc. is located at 435 University Ave E, Saint Paul, MN 55101. The listed phone number is (651) 290-6814.
What is West Side Community Health Services, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is West Side Community Health Services, Inc. enrolled in Medicare?
Yes. West Side Community Health Services, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through West Side Community Health Services, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 101 clinicians in 11 Medicare specialties reassign their Medicare billing to West Side Community Health Services, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (36), Certified Nurse Midwife (CNM) (24) and Family Practice (20). Of these, 73 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for West Side Community Health Services, Inc. was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# West Side Community Health Services, Inc. · NPI 1104977255
Federally Qualified Health Center (FQHC) organization in Saint Paul, Minnesota. Organization record, active in the CMS NPPES registry since January 16, 2007.
## Identity
- **NPI:** 1104977255 (Entity type: Organization)
- **Enumerated:** January 16, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Union Gospel Mission (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Reuben Moore, CEO
## Practice location
- **Address:** 435 UNIVERSITY AVE E, Saint Paul, MN 55101-4437
- **Phone:** (651) 290-6814 · **Fax:** (651) 602-7580
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 101 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (36), Certified Nurse Midwife (CNM) (24), Family Practice (20); 73 practice within 10 miles; [full list](https://npiprofile.com/npi/1104977255/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 3, 2025
- **Other identifiers:** Other 106738 (MN); Medicaid 076982000 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1104977255) · Data from the CMS NPPES public registry.