NPIMap

Organization Active NPI

Community and Rural Health Services, Inc.

Doing business as Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Bellevue, OH
National Provider Identifier
1649019100
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY AND RURAL HEALTH SERVICES, INC.
Doing business as
Community Health Services
Practice address
1255 W Main St Ste B
Bellevue, OH 44811-9112
Phone
(419) 334-3869
NPI assigned
May 23, 2024
Last updated
May 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Mr. Joseph Liszak
Title
Ceo
Phone
(419) 334-8943

Specialties & licenses 1

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

Addresses

Primary practice location

1255 W Main St Ste B
Bellevue, OH 44811-9112

Mailing address

2221 Hayes Ave
Fremont, OH 43420-2632
Phone (419) 334-8943

Other names 2

  • Community Health Services Doing business as
  • Community Health Services - Bellevue Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649019100. Details of each certification follow.

  • CCN 721036 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 721036

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
COMMUNITY HEALTH SERVICES- BELLEVUE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 4, 2022
Last certification
Oct 4, 2022
Ownership / control type
For profit – corporation
Facility address
1255 W Main St
Bellevue, OH 44811

National Provider Directory

National Provider Directory
Tax ID family
Community Health Servic11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1649019100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 HAYES AVE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202632",
            "telephone_number": "419-334-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 W MAIN ST STE B",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448119112",
            "telephone_number": "419-334-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY AND RURAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "LISZAK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-334-8943",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Health Services - Bellevue",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellevue, OH

Sources for this page

Verify at the official NPI Registry.