Provider Demographics
NPI:1639913528
Name:COMMUNIY FIRST CONSULATION SERVICES CORPORATION
Entity type:Organization
Organization Name:COMMUNIY FIRST CONSULATION SERVICES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:SHEIKH ROBLE
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-990-5187
Mailing Address - Street 1:3249 19TH ST NW STE 3
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-6793
Mailing Address - Country:US
Mailing Address - Phone:507-990-5187
Mailing Address - Fax:
Practice Address - Street 1:3249 19TH ST NW STE 3
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-6793
Practice Address - Country:US
Practice Address - Phone:507-990-5187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered Nurse