Community and Rural Health Services, Inc.

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 Willard

Practice address

3909 Kok Rd
Willard, OH 44890-9700

Phone

(419) 933-7408

NPI assigned

Oct 28, 2026

Last updated

Oct 28, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

COMMUNITY AND RURAL HEALTH SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Joseph Liszak III

Title

Ceo

Phone

(419) 334-8943

Specialties & licenses 1

Addresses

Other names 1

• Community Health Services Willard Doing business as

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 1881592178. Details of each certification follow.

• CCN 361973 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 361973

Legal name

COMMUNITY HEALTH SERVICES - WILLARD

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jul 28, 2011

Last certification

Jul 28, 2011

Ownership / control type

For profit – partnership

Facility address

3909 Kok Road
Willard, OH 44890

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

{
    "created_epoch": "1793145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793145600000",
    "number": "1881592178",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 KOK RD",
            "city": "WILLARD",
            "state": "OH",
            "postal_code": "448909700",
            "telephone_number": "419-933-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY AND RURAL HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY AND RURAL HEALTH SERVICES, INC.",
        "enumeration_date": "2026-10-28",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "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_suffix": "III"
    },
    "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 Willard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cleveland Medical Management LLC (Willard Medical and Diagnostics - AMOH)
• Cleveland Medical Management LLC (Willard Medical and Diagnostics - AMOH)
• Nicole Rene Cline, CDCA
• Matthew Aaron Clingman, MSN, RN, FNP-BC
• Community and Rural Health Services, Inc. (Community Health Services Willard)
• Kyle Conley
• Ronda Jean Conti, LPTA
• Kimberly Crisp, RN
• Desiree Cummings
• Melodie Marie Cyrus, PHARM-D

• Federally Qualified Health Center (FQHC) in Willard, OH
• Providers in Willard, OH by specialty
• Federally Qualified Health Center (FQHC) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.