COMMUNITY HEALTH SERVICE INC. – Federally Qualified Health Center (FQHC), NPI 1114478823
Federally Qualified Health Center (FQHC)
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for COMMUNITY HEALTH SERVICE INC.
810, 4th Avenue South, Moorhead, Clay County, Minnesota, 56560, United States
SUITE 101
MOORHEAD, MN 565602800
Phone: (218) 236-6502
Fax: (218) 236-6507
Type: Mailing
2310 4TH AVE N
MOORHEAD, MN 565602473
Phone: (218) 236-6502
Fax: (218) 236-6507
Type: Mailing
West 11th Street, Grafton, Walsh County, North Dakota, United States
GRAFTON, ND 582372139
Phone: (701) 352-4048
Fax: (701) 922-1308
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-10-27
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20170725001454 | O | Federally Qualified Health Center (Fqhc) | ND | TBD |
| O20171027002590 | O | Clinic/Group Practice | ND | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 56560)
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