MCDONOUGH HOMES CLINIC
NPI 1821149964
Clinic/Center - Federally Qualified Health Center (FQHC) in Saint Paul, MN

Active since January 16, 2007
1544 TIMBERLAKE RD, SAINT PAUL, MN 55117(651) 558-2191(651) 558-2205 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mcdonough Homes Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCDONOUGH HOMES CLINIC (NPI 1821149964) 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

NPI1821149964
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameWEST SIDE COMMUNITY HEALTH SERVICES, INC.
Location Address1544 TIMBERLAKE RDSaint Paul, MN 55117-3946
Mailing Address153 Cesar Chavez StSaint Paul, MN 55107-2226 · (651) 602-7500 · Fax (651) 602-7513
Fax(651) 558-2205
Organization SubpartNo
Authorized OfficialReuben MooreCeo · (651) 602-7500
Enumeration DateJanuary 16, 2007
Last NPPES UpdateMay 15, 2024
NPPES CertifiedMay 15, 2024
✔ NPI 1821149964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1544 TIMBERLAKE RD, Saint Paul, MN 55117

Other Names 1

Doing Business AsMcdonough Homes Clinic

Other Identifiers 2

Medicaid072223500MN
Other173477MN · Ucare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mcdonough Homes Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

101

Medicare enrollment records show 101 clinicians reassign Medicare billing to Mcdonough Homes Clinic, which bills Medicare for the services they deliver. Of these, 72 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Nurse Practitioner36
Certified Nurse Midwife (CNM)24
Family Practice20
Clinical Social Worker8
Mental Health Counselor5
Internal Medicine2
Pediatric Medicine2
Chiropractic1
3 other specialties3

Nearest to this location (20)

See all 101
Clinical Social Worker
NPI 1578757381
860 ARACADE AVE HEALTH START/ WEST SIDE COMMUNITY HEALTH SERVICES
St. Paul, MN 55106
(651) 778-2884
✔ PECOS2.0 mi
Certified Nurse Midwife (CNM)
NPI 1043670144
895 7TH ST E
Saint Paul, MN 55106
(651) 602-7500
✔ PECOS✔ Accepts Medicare2.2 mi
Certified Nurse Midwife (CNM)
NPI 1417691668
895 7TH ST E
Saint Paul, MN 55106
(651) 602-7500
✔ PECOS✔ Accepts Medicare2.2 mi
Nurse Practitioner
NPI 1780026419
895 7TH ST E
Saint Paul, MN 55106
(651) 602-7500
✔ PECOS2.2 mi
Nurse Practitioner
NPI 1891067005
895 7TH ST E
Saint Paul, MN 55106
(651) 602-7500
✔ PECOS✔ Accepts Medicare2.2 mi
Nurse Practitioner
NPI 1982278966
640 JACKSON ST
Saint Paul, MN 55101
(651) 254-4600
✔ PECOS✔ Accepts Medicare2.3 mi
Certified Nurse Midwife (CNM)
NPI 1437402237
640 JACKSON ST
Saint Paul, MN 55101
(952) 967-7619
✔ PECOS✔ Accepts Medicare2.3 mi
Clinical Social Worker
NPI 1629327630
402 UNIVERSITY AVE E
Saint Paul, MN 55130
(651) 472-4148
✔ PECOS2.5 mi
Nurse Practitioner
NPI 1992300370
438 DOROTHY DAY PL
Saint Paul, MN 55102
(651) 290-6815
✔ PECOS✔ Accepts Medicare2.8 mi
Mental Health Counselor
NPI 1023388410
2837 MATILDA ST
Roseville, MN 55113
(901) 218-0312
✔ PECOS✔ Accepts Medicare2.9 mi
Family Practice
NPI 1104117977
333 SMITH AVE N STE 4640
Saint Paul, MN 55102
(651) 241-1001
✔ PECOS✔ Accepts Medicare3.2 mi
Family Practice
NPI 1073572038
153 CESAR CHAVEZ ST
W. St. Paul, MN 55107
(651) 222-1816
✔ PECOS4.0 mi
Marriage and Family Therapist
NPI 1679806335
153 CESAR CHAVEZ ST
W. St Paul, MN 55107
(651) 222-1816
✔ PECOS✔ Accepts Medicare4.0 mi
Family Practice
NPI 1255300463
153 CESAR CHAVEZ ST
W. St. Paul, MN 55107
(651) 222-1816
✔ PECOS✔ Accepts Medicare4.0 mi
Certified Nurse Midwife (CNM)
NPI 1295990901
153 CESAR CHAVEZ ST
W. St. Paul, MN 55107
(651) 222-1816
✔ PECOS✔ Accepts Medicare4.0 mi
Family Practice
NPI 1922067735
153 CESAR CHAVEZ ST
W. St. Paul, MN 55107
(651) 222-1816
✔ PECOS4.0 mi
Clinical Social Worker
NPI 1700493137
153 CESAR CHAVEZ ST
Saint Paul, MN 55107
(651) 602-7500
✔ PECOS✔ Accepts Medicare4.0 mi
Clinical Social Worker
NPI 1710751987
153 CESAR CHAVEZ ST
Saint Paul, MN 55107
(715) 613-1390
✔ PECOS✔ Accepts Medicare4.0 mi
Chiropractic
NPI 1669958195
153 CESAR CHAVEZ ST
Saint Paul, MN 55107
(651) 602-7500
✔ Accepts Medicare4.0 mi
Pediatric Medicine
NPI 1174176333
153 CESAR CHAVEZ ST
Saint Paul, MN 55107
(651) 602-7500
✔ PECOS4.1 mi
See all 101 clinicians

Source: 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 1821149964. It was assigned to this organization in the NPPES registry on January 16, 2007. The provider is doing business as Mcdonough Homes Clinic.

Where is West Side Community Health Services, Inc. located?

West Side Community Health Services, Inc. is located at 1544 Timberlake Rd, Saint Paul, MN 55117. The listed phone number is (651) 558-2191.

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, 72 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does West Side Community Health Services, Inc. accept?

Health plans from HealthPartners list West Side Community Health Services, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for West Side Community Health Services, Inc. was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.