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General NPI Number Information
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NPI Number | 1235680935
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH SERVICE INC.
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Dates
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Enumeration Date | 10/18/2016
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 2720 BROADWAY AVE N
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City | ROCHESTER
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State | MN
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Zip | 55906-3980
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Country | US
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Telephone | 507-529-0503
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Fax | 507-322-6203
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Provider Business Mailing Address
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Address Line | 2310 4TH AVE N
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City | MOORHEAD
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State | MN
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Zip | 56560-2473
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Country | US
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Telephone | 218-236-6502
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Fax | 218-236-6507
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Authorized Official
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Title or Position | CEO
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Name | RHONDA EASTLUND
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Credential |
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Telephone | 507-206-5756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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