NPIMap

Organization Active NPI

Community Health Service Inc.

  • Federally Qualified Health Center (FQHC)
  • Rochester, MN
National Provider Identifier
1235680935
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH SERVICE INC.
Practice address
2720 Broadway Ave N
Rochester, MN 55906-3980
Phone
(507) 529-0503
Fax
(507) 322-6203
NPI assigned
Oct 18, 2016
Organization subpart
Yes
Parent organization
COMMUNITY HEALTH SERVICE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Rhonda Eastlund
Title
Ceo
Phone
(507) 206-5756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2720 Broadway Ave N
Rochester, MN 55906-3980

Mailing address

2310 4TH Ave N
Moorhead, MN 56560-2473
Phone (218) 236-6502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170412001373 MN Part A Provider - Federally Qualified Health Center (FQHC) 4486930195 Practice locations: Rochester, MN

Federally qualified health center certification: CCN 241874

Legal name
COMMUNITY HEALTH SERVICE INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 28, 2017
Last certification
Feb 28, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 27, 1972 in MN
Enrollment address
2720 Broadway Ave N
Rochester, MN 55906-3980

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Community Health Service Inc3 organizations share this tax ID, including this one
Part of
Community Health Service Inc

Other organizations with this tax ID 2

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

Locations

2720 N Broadway
Rochester, MN 55906
Phone (507) 285-1815

1926 College View Rd E
Rochester, MN 55904
Phone (507) 206-5757

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Griselt Andrade Individual Corporate DirectorBoard Member Apr 28, 2022
Jose Atilano Individual Corporate DirectorBoard Member Dec 1, 2010
Vanessa NG Individual Corporate DirectorBoard Member Mar 20, 2025
Jamie Gades Individual Corporate DirectorBoard Member Feb 23, 2023
Rosa Diaz Individual Corporate DirectorBoard Member Aug 24, 2024
Cristina Villarreal Individual Corporate DirectorBoard Member Feb 20, 2025
Rhonda Eastlund Individual Corporate OfficerCeo Jun 24, 2024
Montarce Martin Individual Corporate OfficerCfo Apr 1, 2024
W-2 Managing EmployeeCfo Apr 1, 2024
Paul Schulz Individual Corporate DirectorBoard Member May 15, 2025
Christy Potts Individual Corporate DirectorBoard Member Dec 15, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1235680935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 4TH AVE N",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602473",
            "telephone_number": "218-236-6502",
            "fax_number": "218-236-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 BROADWAY AVE N",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559063980",
            "telephone_number": "507-529-0503",
            "fax_number": "507-322-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH SERVICE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HEALTH SERVICE INC.",
        "enumeration_date": "2016-10-18",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "EASTLUND",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-206-5756"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.