Organization
WEST SIDE COMMUNITY HEALTH SERVICES, INC.
Active
Organization
WEST SIDE COMMUNITY HEALTH SERVICES, INC.
Active
Other names
Union Gospel Mission
Organization subpart
No
Provider details
NPI number
Authorized official
REUBEN MOORE (CEO)
(651) 602-7500
Entity
Organization
Contact information
Practice address
435 UNIVERSITY AVE E, SAINT PAUL, MN 55101-4437
(651) 290-6814
(651) 602-7580
Mailing address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 602-7500
(651) 602-7500
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076982000
—
MN
01
—
106738
UCARE
MN
Enumeration date
01/16/2007
Last updated
03/03/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up