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: July 19, 2026.

  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance

About MCDONOUGH HOMES CLINIC

This page provides the complete NPI Profile along with additional information for Mcdonough Homes Clinic, a primary care provider established in Saint Paul, Minnesota operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1821149964 assigned on January 2007. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Mcdonough Homes Clinic. The authorized official of this NPI record is Reuben Moore (Ceo)

NPI
1821149964 Verify this NPI
Provider Legal Name
WEST SIDE COMMUNITY HEALTH SERVICES, INC.
Other Organization Name
MCDONOUGH HOMES CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1544 TIMBERLAKE RD SAINT PAUL, MN 55117
Location Phone
(651) 558-2191
Location Fax
(651) 558-2205
Mailing Address
153 CESAR CHAVEZ ST SAINT PAUL, MN 55107
Mailing Phone
(651) 602-7500
Mailing Fax
(651) 602-7513
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-16-2007
Last Update Date
05-15-2024
Code Navigator

A primary care provider (PCP) like Mcdonough Homes Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License State
MN

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,300 Gold - PPO
  • Atlas $2,000 Standard Gold - PPO
  • Atlas $3,050 Plus Silver - PPO
  • Atlas $3,800 HSA Silver - PPO
  • Atlas $6,000 Standard Silver - PPO
  • Atlas $6,800 Plus Bronze HSA - PPO
  • Atlas $7,500 Standard Bronze HSA - PPO
  • Atlas $8,400 HSA Bronze - PPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

REUBEN MOORE

Authorized Official Title
CEO
Authorized Official Phone
(651) 602-7500

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
072223500MEDICAID (05)MN 
173477OTHER (01)MNUCARE

Reviews for MCDONOUGH HOMES CLINIC

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
1544 TIMBERLAKE RD
SAINT PAUL, MN 55117
Physician Assistant
1544 TIMBERLAKE RD
SAINT PAUL, MN 55117

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821149964, enumerated as an "organization" on January 16, 2007.

The provider is located at 1544 TIMBERLAKE RD SAINT PAUL, MN 55117 and the phone number is (651) 558-2191.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: HealthPartners, Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.