Community Health Service Inc. | |
1804 Trott Ave Sw Willmar MN 56201-2743 | |
(320) 214-7286 | |
(320) 214-7223 |
Full Name | Community Health Service Inc. |
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Speciality | Clinic/Center |
Location | 1804 Trott Ave Sw, Willmar, Minnesota |
Authorized Official Name and Position | Asim Khan (CFO) |
Authorized Official Contact | 2184227424 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Community Health Service Inc. 810 4th Ave S Suite 101 Moorhead MN 56560-2800 Ph: (218) 236-6502 | Community Health Service Inc. 1804 Trott Ave Sw Willmar MN 56201-2743 Ph: (320) 214-7286 |
NPI Number | 1497206197 |
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Provider Enumeration Date | 10/18/2016 |
Last Update Date | 05/18/2023 |
Medicare PECOS PAC ID | 4486930195 |
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Medicare Enrollment ID | O20170517000155 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497206197 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Centracare Clinic Southwest Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 | |
West Central Solutions, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 414 Becker Ave Sw Ste 1a, Willmar, MN 56201 Phone: 612-814-7840 | |
Gillette Children's Healthcare Willmar Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1303 1st St S Ste 1, Willmar, MN 56201 Phone: 651-634-1938 | |
Pearle Vision Willmar Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2404 1st St S, Willmar, MN 56201 Phone: 320-235-1235 Fax: 320-235-9241 | |
Miller Chiropractic Office Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1804 Trott Ave Sw, Willmar, MN 56201 Phone: 320-235-0880 | |
Affiliated Community Medical Centers, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Willmar Ave Sw, Affiliated Community Medical Centers, Willmar, MN 56201 Phone: 320-231-5079 Fax: 320-231-5067 |