Community Health Service Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

COMMUNITY HEALTH SERVICE INC.

Practice address

1804 Trott Ave SW
Willmar, MN 56201-2743

Phone

(320) 214-7286

Fax

(320) 214-7223

NPI assigned

Oct 18, 2016

Last updated

Feb 17, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

COMMUNITY HEALTH SERVICE INC.As reported in NPPES

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

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497206197. Details of each certification follow.

• CCN 241876 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 241876

Legal name

COMMUNITY HEALTH SERVICE INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

May 18, 2017

Last certification

May 18, 2017

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Nov 27, 1972 in MN

Enrollment address

1804 Trott Ave SW
Willmar, MN 56201-2743

Other NPIs with the same Medicare PAC ID 3

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

• Community Health Service Inc.

  • Federally Qualified Health Center (FQHC)
  • Rochester, MN
  • NPI 1235680935

  4486930195

  Same PAC ID
• Community Health Service Inc.

  • Federally Qualified Health Center (FQHC)
  • Moorhead, MN
  • NPI 1316921406

  4486930195

  Same PAC ID
• Community Health Service Inc.

  • Federally Qualified Health Center (FQHC)
  • Grafton, ND
  • NPI 1114478823

  4486930195

  Same PAC ID

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.

• Community Health Service Inc.

  • Federally Qualified Health Center (FQHC)
  • Rochester, MN
  • NPI 1235680935
  NPD tax ID
• Community Health Service Inc.

  • Federally Qualified Health Center (FQHC)
  • Moorhead, MN
  • NPI 1326649666
  NPD tax ID

Locations

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.

Owners & managing parties with NPI records 1

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

• Vanessa Hau Yee NG, PSYD, LP

  • Clinical Psychologist
  • Saint Paul, MN
  • NPI 1427330448

  Corporate Director

  CMS ownership

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1497206197",
    "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": "1804 TROTT AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562012743",
            "telephone_number": "320-214-7286",
            "fax_number": "320-214-7223"
        }
    ],
    "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": "2026-02-17",
        "certification_date": "2026-02-17",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coborns Inc (Cash Wise Clinic Pharmacy)
• Irma J Cockerill, MD
• Mary Jo Cody, MSW/LICSW
• Community Addiction Recovery Enterprise (Community Addiction Recovery Enterprise Detention Center)
• Community Behavioral Health Hospital-Willmar (CBHH-Willmar)
• Community Outreach Counseling PC
• Compass Chiropractic LLC (Compass Chiropractic)
• Compassionate Cottage, LLC.
• Jaclynn N Condon
• Cornerstone of Willmar, Inc.

• Federally Qualified Health Center (FQHC) in Willmar, MN
• Providers in Willmar, MN by specialty
• Federally Qualified Health Center (FQHC) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.