COMMUNITY HEALTH SERVICE INC. (NPI# 1497206197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497206197 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH SERVICE INC. |
| Practice Address |
1804 Trott Ave Sw Willmar MN 56201-2743 |
| Mailing Address |
810 4th Ave S Suite 101 Moorhead MN 56560-2800 |
| Practice Telephone | 3202147286 |
| Practice Fax Number | 3202147223 |
| Mailing Telephone | 2182366502 |
| Mailing Fax Number | 2182366507 |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |
| Authorized Official Name | KRISTIN HALVARSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2182366502 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY HEALTH SERVICE INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649666 | Community Health Service Inc. | Clinic/Center | 810 4th Ave S Ste 101, Moorhead, MN 56560-2800 | 2020-11-03 |
| 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 |
| Street Address |
1804 TROTT AVE SW |
| City | WILLMAR |
| State | MN |
| Zip Code | 56201-2743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669561700 | Jan Marie Dworshak | Massage Therapist | 1804 Trott Ave Sw, Willmar, MN 56201-2743 | 2006-10-12 |
| 1851820799 | Miller Chiropractic Office | Clinic/Center | 1804 Trott Ave Sw, Willmar, MN 56201-2743 | 2017-06-05 |
| 1750447819 | Jean Hanson | Technician, Other | 1804 Trott Ave Sw, Willmar, MN 56201-2743 | 2006-12-30 |
| 1285796391 | Jody Toren | Technician, Other | 1804 Trott Ave Sw, Willmar, MN 56201-2743 | 2006-12-14 |
| 1639245954 | Kathryn Mae Miller Stai | Chiropractor | 1804 Trott Ave Sw, Willmar, MN 56201-1614 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793472 | Sarah Erickson | Counselor | 2120 60th Ave N.w., Willmar, MN 56201 | 2020-09-01 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1154856524 | Mude Transportation Inc | Non-emergency Medical Transport (VAN) | 1712 Monongalia Ave Sw Ap1, Willmar, MN 56201 | 2017-04-24 |
| 1285025874 | Jill Fellows | Occupational Therapist | 611 5th St. Sw, Willmar, MN 56201 | 2015-02-18 |
| 1700294881 | Brenda Wiese | Counselor | 1617 Hwy 12 E, Suite 230, Willmar, MN 56201 | 2014-08-01 |
| 1275955932 | Courtney Regnier | Marriage & Family Therapist | 2320 E Hwy 12 Ste 2, Willmar, MN 56201 | 2014-01-15 |
| 1568732402 | Pamela Jean Kubesh | Social Worker | 328 Sw 3rd Street, Willmar, MN 56201 | 2012-01-10 |
| 1699931824 | Community Behavioral Health Hospital-willmar | Psychiatric Hospital | 1208 Olena Ave Se, Willmar, MN 56201 | 2008-08-07 |
| 1700053345 | Nathan Schrick | Marriage & Family Therapist | 513 Sw 5th Street, Box 1810, Willmar, MN 56201 | 2008-05-13 |
| 1831381680 | Joan M Blonigan Christianson | Chiropractor | 1101 S 1st Street, Willmar, MN 56201 | 2007-08-15 |
| Find all providers in zip 56201 | ||||
| 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 |
|---|---|---|---|---|
| 1326649666 | Community Health Service Inc. | Clinic/Center | 810 4th Ave S Ste 101, Moorhead, MN 56560-2800 | 2020-11-03 |
| 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 |
| 1982162434 | Family Health Care Center | Clinic/Center | 1104 7th Ave S # 92, Moorhead, MN 56563-0001 | 2019-03-04 |
| 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 |
| 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.