Union Gospel Mission

LBN: West Side Community Health Services, Inc.
Union Gospel Mission is an health care organization with primary practice located at 435 University Ave E , Saint Paul MN 55101-4437. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. West Side Community Health Services, Inc. can be contacted via phone (651) 290-6814, or through Moore, Reuben via phone (651) 602-7500.

Contact Information

Primary practice address
435 University Ave E Saint Paul MN 55101-4437
Phone: (651) 290-6814
Fax: (651) 290-6818
Website:
Map and Directions
Authorized official contact:
Name: Moore, Reuben
Phone: (651) 602-7500

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Minnesota

Profile Details

NPI number 1104977255
LBN Legal business name West Side Community Health Services, Inc.
DBA Doing business as Union Gospel Mission
Authorized official Moore, Reuben
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated May 15th, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104977255 NPPES
Minnesota Other 106738 UCARE
Minnesota MEDICAID 076982000 UCARE

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