COMMUNITY HEALTH SERVICE INC. (NPI# 1326649666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326649666 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH SERVICE INC. |
| Practice Address |
810 4th Ave S Ste 101 Moorhead MN 56560-2800 |
| Practice Telephone | 2182366502 |
| Practice Fax Number | 2182366507 |
| Mailing Telephone | 2182366502 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Authorized Official Name | KIM PEDERSON (BILLING AND COODING COORDINATOR) |
| Authorized Official Telephone | 2182366502 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1113 W 11th St, Grafton, ND 582372139 | 7013524048 | 7019221308 |
| 1804 Trott Ave Sw, Willmar, MN 562012743 | 3202147286 | 3202417223 |
| 1926 College View Rd E, Rochester, MN 559048201 | 5075290503 | 5075290270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326599697 | Community Health Service Inc. | Clinic/Center | 142 W Bridge St, Owatonna, MN 55060-2918 | 2016-10-20 |
| 1114478823 | Community Health Service Inc. | Clinic/Center | 1113 W 11th St, Grafton, ND 58237-2139 | 2016-10-18 |
| 1316921406 | Community Health Service Inc. | Clinic/Center | 810 4th Avenue South, Suite 101, Moorhead, MN 56560 | 2005-12-01 |
| 1235680935 | Community Health Service Inc. | Clinic/Center | 1926 College View Rd E, Rctc, Rochester, MN 55904-8201 | 2016-10-18 |
| 1497206197 | Community Health Service Inc. | Clinic/Center | 1804 Trott Ave Sw, Willmar, MN 56201-2743 | 2016-10-18 |
| Street Address |
810 4TH AVE S STE 101 |
| City | MOORHEAD |
| State | MN |
| Zip Code | 56560-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386298859 | Anna Mckay Fox | Pharmacist | 4000 28th Avenue S, Moorhead, MN 56560 | 2019-08-01 |
| 1972019727 | Michael Wayne Hilliard | Specialist/Technologist | 649 17th St S, Moorhead, MN 56560 | 2017-12-15 |
| 1508217183 | Kristen Johnson | Nurse Practitioner | 801 Belsly Boulevard, Moorhead, MN 56560 | 2016-06-25 |
| 1861877052 | Midwest Mental Health Clinic | Nurse Practitioner | 819 30th Ave S Office 206 Suite B, Moorhead, MN 56560 | 2015-07-29 |
| 1083037709 | Drake Counseling Services, Inc. | Clinic/Center | 715 11th Street North, Suite 204, Moorhead, MN 56560 | 2014-01-31 |
| 1710310917 | Lamar Terrell Hill | Social Worker | 420 Center Ave Ste 102, Moorhead, MN 56560 | 2013-08-12 |
| 1982956140 | Lilac Homes Corporation | Assisted Living Facility | 2615 Parkview Dr, Moorhead, MN 56560 | 2012-10-11 |
| 1487918462 | Paige Joy Hanson | Massage Therapist | 805 14th St. So., Msum Wellness Center, Moorhead, MN 56560 | 2012-06-25 |
| 1972809408 | Cslm, LLC | Assisted Living Facility | 2401 South 11th Street, Moorhead, MN 56560 | 2011-02-01 |
| 1972814846 | Paul Michael Fluto | Pharmacist | 3000 Hwy 10 East, Mooehead, MN 56560 | 2010-06-25 |
| Find all providers in zip 56560 | ||||
| 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 |
|---|---|---|---|---|
| 1285280180 | Delta Health Center, Inc | Clinic/Center | 506 Washington Avenue, Moorhead, MS 38761 | 2019-08-15 |
| 1982162434 | Family Health Care Center | Clinic/Center | 1104 7th Ave S # 92, Moorhead, MN 56563-0001 | 2019-03-04 |
| 1417149766 | Delta Health Center, Inc. | Clinic/Center | 110 West Washington Street, Moorhead, MS 38761-6627 | 2007-08-10 |
| 1043389117 | Family Health Care Center | Clinic/Center | 901 8th St. S, Concordia Health Services, Moorhead, MN 56560 | 2006-11-06 |
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|---|---|---|---|---|
| 1174141485 | Rural Health Care, Inc | Clinic/Center | 820 2nd Ave N Ste 1, Windom, MN 56101-1766 | 2020-07-13 |
| 1730707084 | Rural Health Care, Inc. | Clinic/Center | 201 N St Paul Ave Ste 1, Fulda, MN 56131-3004 | 2020-07-13 |
| 1205397395 | Health Start Sbc Creative Arts | Clinic/Center | 65 Kellogg Blvd E, Saint Paul, MN 55101-1106 | 2019-03-29 |
| 1760949168 | Indian Health Board of Minneapolis, Inc | Clinic/Center | 2101 Minnehaha Avenue South, Minneapolis, MN 55404-3107 | 2019-02-22 |
| 1891266862 | Hennepin County | Clinic/Center | 41 N 12th St., Minneapolis, MN 55403-1325 | 2018-12-17 |
| 1700357779 | Hennepin County | Clinic/Center | 2211 Clinton Ave, Minneapolis, MN 55404-3656 | 2018-12-17 |
| 1487125597 | Hennepin County | Clinic/Center | 215 S 8th St, Minneapolis, MN 55402-2803 | 2018-12-16 |
| 1992276000 | Hennepin County | Clinic/Center | 2740 1st Ave S, Minneapolis, MN 55408-1611 | 2018-12-16 |
| 1841761954 | Hennepin County | Clinic/Center | 3111 First Ave. So., Minneapolis, MN 55408-2055 | 2018-12-16 |
| 1528539624 | Hennepin County | Clinic/Center | 740 East 17th Street, Minneapolis, MN 55404-1601 | 2018-12-16 |
| Find all providers with the same taxonomy | ||||
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| 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.