NPIMap

Organization Active NPI

Community Health Services, SC

  • Primary Care Clinic/Center
  • Aurora, IL
National Provider Identifier
1447445895
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
COMMUNITY HEALTH SERVICES, SC
Practice address
808 N Route 59
Aurora, IL 60504-4912
Phone
(630) 236-6123
Fax
(630) 236-6133
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Dr. Kenneth Richmond, M.D.
Title
President
Phone
(702) 533-9304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

808 N Route 59
Aurora, IL 60504-4912

Mailing address

2685 S Rainbow Blvd
Suite 112
Las Vegas, NV 89146-5182
Phone (702) 562-0458

National Provider Directory

National Provider Directory

Locations

2685 S Rainbow Blvd
Ste 112
Las Vegas, NV 89146
Phone (702) 562-0458

Practitioners & affiliated clinicians

Practitioners 5

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": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1447445895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 S RAINBOW BLVD",
            "address_2": "SUITE 112",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465182",
            "telephone_number": "702-562-0458",
            "fax_number": "702-562-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 N ROUTE 59",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044912",
            "telephone_number": "630-236-6123",
            "fax_number": "630-236-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH SERVICES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "RICHMOND",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-533-9304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.