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: August 16, 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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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

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.

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

Health plans from HealthPartners and Medica 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.