Organization
COMMUNITY AND RURAL HEALTH SERVICES, INC.
Active
Other names
Community Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH LISZAK (CEO)
(419) 334-8943
Entity
Organization
Contact information
Practice address
2221 HAYES AVE, FREMONT, OH 43420-2632
(419) 334-8943
(419) 334-8619
Mailing address
2221 HAYES AVE, FREMONT, OH 43420-2632
(419) 334-8943
(419) 334-8619
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0415465
—
OH
05
—
0826388
—
OH
Enumeration date
05/22/2007
Last updated
08/22/2024
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