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
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