Community Support Systems, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COMMUNITY SUPPORT SYSTEMS, INC.

Doing business as

Hope House

Practice address

2014 7TH St SE
Bemidji, MN 56601-5051

Phone

(218) 444-6748

Fax

(218) 444-8664

NPI assigned

Apr 25, 2008

Organization subpart

No

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

Authorized official

Name

Robin Wold, MSW, LSW

Title

Director

Phone

(218) 444-6748

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Hope House Doing business as

Tax ID family

Community Support Syste2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Community Support Systems, Inc.

  • Community/Behavioral Health Agency
  • Bemidji, MN
  • NPI 1588715775
  NPD tax ID

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1215102728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1097",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566191097",
            "telephone_number": "218-444-6748",
            "fax_number": "218-444-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 7TH ST SE",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015051",
            "telephone_number": "218-444-6748",
            "fax_number": "218-444-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SUPPORT SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "WOLD",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "218-444-6748",
        "authorized_official_credential": "MSW, LSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "7H034CO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "85D48HO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Staci Lynn Collison
• Mark E Colliton, MD
• Common Ground Integrative Health Inc
• Community Behavioral Health Hospital Bemidji
• Community Support Systems, Inc.
• Community Support Systems, Inc.
• Complete Health PC
• Adrian R Cook, PHARM D
• Melissa Cook, LICSW
• Samuel David Cook, M.D.

• Community/Behavioral Health Agency in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.