| Community Health Service Inc. | |
|
1113 W 11th St Grafton ND 58237-2139 | |
| (701) 352-4048 | |
| (701) 352-0268 |
| Full Name | Community Health Service Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1113 W 11th St, Grafton, North Dakota |
| Authorized Official Name and Position | Stephanie Low (CEO/CMO) |
| Authorized Official Contact | 2182366502 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Service Inc. 2310 4th Ave N Moorhead MN 56560-2473 Ph: (218) 236-6502 | Community Health Service Inc. 1113 W 11th St Grafton ND 58237-2139 Ph: (701) 352-4048 |
| NPI Number | 1114478823 |
|---|---|
| Provider Enumeration Date | 10/18/2016 |
| Last Update Date | 07/10/2023 |
| Medicare PECOS PAC ID | 4486930195 |
|---|---|
| Medicare Enrollment ID | O20170725001454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114478823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Grafton Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 164 W 13th St, Grafton, ND 58237 Phone: 701-352-1620 Fax: 701-352-1671 |