NPIMap

Organization Active NPI

Community Health and Immunization Services, LLC

  • Community Health Worker
  • Edina, MN
National Provider Identifier
1184035792
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
COMMUNITY HEALTH AND IMMUNIZATION SERVICES, LLC
Practice address
6700 France Ave S
Suite 150B
Edina, MN 55435-1902
Phone
(877) 358-8648
NPI assigned
May 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rebekah Suazo
Title
Medical Billing Supervisor
Phone
(480) 646-9099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

6700 France Ave S
Suite 150B
Edina, MN 55435-1902

Mailing address

668 N 44TH St Ste 100W
Phoenix, AZ 85008-6507
Phone (844) 358-3733

National Provider Directory

National Provider Directory
Tax ID family
Community Health and Immunization Services LLC32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1184035792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 N 44TH ST STE 100W",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086507",
            "telephone_number": "844-358-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 FRANCE AVE S",
            "address_2": "SUITE 150B",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351902",
            "telephone_number": "877-358-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH AND IMMUNIZATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "SUAZO",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "MEDICAL BILLING SUPERVISOR",
        "authorized_official_telephone_number": "480-646-9099"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.