WEST SIDE COMMUNITY HEALTH SERVICES, INC. (NPI# 1821149964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821149964 |
| Entity Type | Organization |
| Organization Name | WEST SIDE COMMUNITY HEALTH SERVICES, INC. |
| Other Organization Name | MCDONOUGH HOMES CLINIC |
| Practice Address |
1544 Timberlake Rd Saint Paul MN 55117-3946 |
| Mailing Address |
153 Cesar Chavez St Saint Paul MN 55107-2226 |
| Practice Telephone | 6515582191 |
| Practice Fax Number | 6515582205 |
| Mailing Telephone | 6512221816 |
| Mailing Fax Number | 6512221305 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2009-06-10 |
| Authorized Official Name | MAVIS BREHM (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6516027536 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | UCARE | 173477 | 01 |
| MN | 072223500 | 05 |
| Other Name | Type Code |
|---|---|
| McDonough Homes Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932392727 | West Side Community Health Services, Inc. | Clinic/Center | 740 Rose Ave W, Saint Paul, MN 55117-4042 | 2007-08-24 |
| 1023201811 | West Side Community Health Services, Inc. | Clinic/Center | 275 Lexington Pkwy N, Saint Paul, MN 55104-5402 | 2007-08-24 |
| 1881887032 | West Side Community Health Services, Inc. | Clinic/Center | 1540 6th St E, Saint Paul, MN 55106-4806 | 2007-08-21 |
| 1407049653 | West Side Community Health Services, Inc. | Clinic/Center | 1015 Snelling Ave S, Saint Paul, MN 55116-2447 | 2007-08-21 |
| 1649394727 | West Side Community Health Services, Inc. | Clinic/Center | 30 Baker St E, Saint Paul, MN 55107-2966 | 2007-03-16 |
| 1881718971 | West Side Community Health Services, Inc. | Clinic/Center | 980 9th Ave S, Saint Paul Park, MN 55071-1436 | 2007-03-16 |
| 1457475543 | West Side Community Health Services, Inc. | Clinic/Center | 495 Rice Street, St Paul, MN 55117-3864 | 2007-03-16 |
| 1730203944 | West Side Community Health Services, Inc. | Clinic/Center | 2001 Van Dyke St, Maplewood, MN 55109-3711 | 2007-03-16 |
| 1083765135 | West Side Community Health Services, Inc. | Clinic/Center | 1349 Arcade St, Saint Paul, MN 55106-1801 | 2007-01-16 |
| 1104977255 | West Side Community Health Services, Inc. | Clinic/Center | 435 University Ave E, Saint Paul, MN 55101-4437 | 2007-01-16 |
| Street Address |
1544 TIMBERLAKE RD |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55117-3946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114479003 | Mai Lee Chang | Physician Assistant | 1544 Timberlake Rd, Saint Paul, MN 55117-3946 | 2016-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306309992 | Katrina Gregor | Social Worker | Po Box 17370 Lot 537, St. Paul, MN 55117 | 2019-04-10 |
| 1083160352 | Miracle Home Health Care, Inc. | Home Health | 55 Lyton Place, Saint Paul, MN 55117 | 2016-08-28 |
| 1871958827 | Roxanne Marie Cruciani | Physical Therapy Assistant | 41 East County Road C, #211, Little Canada, MN 55117 | 2015-12-17 |
| 1386064111 | Laura Giegler | Family Medicine | 1983 Sloan Pl Ste 1, Saint Paul, MN 55117 | 2014-04-19 |
| 1235564352 | Jennifer Ann Bertolatus | Counselor | 1585 Rice Street, St. Paul, MN 55117 | 2013-09-09 |
| 1851670400 | Healthy Community Services Agency, Inc | Home Health | 1096 Rice St., St. Paul, MN 55117 | 2011-08-15 |
| 1609184639 | Ondrea Perlman | Advanced Practice Midwife | 91 Viking Drive West, Little Canada, MN 55117 | 2010-09-24 |
| 1710126107 | Have A Heart Home Health Group, LLC | Home Health | 1973 Sloan Place, Suite 70, Maplewood, MN 55117 | 2009-02-09 |
| 1508052424 | Integratiavecare Vadnais Heights LLC | Pharmacy | 5 East County Road B, Suite #2, Little Canada, MN 55117 | 2007-09-25 |
| 1174728257 | Step Therapies, Inc. | Specialist | 75 W Viking Drive, Suite 101, Little Canada, MN 55117 | 2007-06-18 |
| Find all providers in zip 55117 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205397395 | Health Start Sbc Creative Arts | Clinic/Center | 65 Kellogg Blvd E, Saint Paul, MN 55101-1106 | 2019-03-29 |
| 1194902072 | West Side Community Health Services, Inc | Clinic/Center | 1212 University Ave W, Saint Paul, MN 55104-4123 | 2008-01-23 |
| 1932392727 | West Side Community Health Services, Inc. | Clinic/Center | 740 Rose Ave W, Saint Paul, MN 55117-4042 | 2007-08-24 |
| 1023201811 | West Side Community Health Services, Inc. | Clinic/Center | 275 Lexington Pkwy N, Saint Paul, MN 55104-5402 | 2007-08-24 |
| 1881887032 | West Side Community Health Services, Inc. | Clinic/Center | 1540 6th St E, Saint Paul, MN 55106-4806 | 2007-08-21 |
| 1407049653 | West Side Community Health Services, Inc. | Clinic/Center | 1015 Snelling Ave S, Saint Paul, MN 55116-2447 | 2007-08-21 |
| 1649394727 | West Side Community Health Services, Inc. | Clinic/Center | 30 Baker St E, Saint Paul, MN 55107-2966 | 2007-03-16 |
| 1083765135 | West Side Community Health Services, Inc. | Clinic/Center | 1349 Arcade St, Saint Paul, MN 55106-1801 | 2007-01-16 |
| 1295886208 | West Side Community Health Services, Inc | Clinic/Center | 183 Old Sixth Street, Saint Paul, MN 55102-1026 | 2007-01-16 |
| 1104977255 | West Side Community Health Services, Inc. | Clinic/Center | 435 University Ave E, Saint Paul, MN 55101-4437 | 2007-01-16 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55117 |
Please comment or provide details below to improve the information on WEST SIDE COMMUNITY HEALTH SERVICES, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.