Provider Demographics
NPI:1194897082
Name:COMMUNITY HEALTH SYSTEMS, INC.
Entity type:Organization
Organization Name:COMMUNITY HEALTH SYSTEMS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-252-8551
Mailing Address - Street 1:PO BOX 147
Mailing Address - Street 2:
Mailing Address - City:DOROTHY
Mailing Address - State:WV
Mailing Address - Zip Code:25060-0147
Mailing Address - Country:US
Mailing Address - Phone:304-854-1324
Mailing Address - Fax:304-854-1996
Practice Address - Street 1:HOME SCHOOL VILLAGE #1
Practice Address - Street 2:
Practice Address - City:COLCORD
Practice Address - State:WV
Practice Address - Zip Code:25048
Practice Address - Country:US
Practice Address - Phone:304-854-1324
Practice Address - Fax:304-854-1996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0035054000Medicaid
4492234OtherAETNA
070480400OtherFEDERAL BLACK LUNG
001709417OtherBLUECROSS BLUESHIELD
WV511832Medicare ID - Type UnspecifiedUGS MEDICARE
070480400OtherFEDERAL BLACK LUNG
WV0035054000Medicaid