Organization Active NPI

Community Service, Inc

  • Case Manager/Care Coordinator
  • Russellville, AR
National Provider Identifier
1275912263
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
COMMUNITY SERVICE, INC
Practice address
1505 S Oswego Ave
Russellville, AR 72802-2673
Phone
(479) 967-3370
Fax
(479) 967-2775
NPI assigned
May 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Authorized official

Name
Mrs. Linda Foshee
Title
Billing Clerk
Phone
(501) 354-4589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

1505 S Oswego Ave
Russellville, AR 72802-2673

Mailing address

PO Box 679
Morrilton, AR 72110-0679

National Provider Directory

National Provider Directory
Tax ID family
Conway County Comm Serv Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1275912263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 679",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721100679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 S OSWEGO AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728022673",
            "telephone_number": "479-967-3370",
            "fax_number": "479-967-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "FOSHEE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "501-354-4589",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.