Provider Demographics
NPI:1033281936
Name:COMMUNITY HEALTH SYSTEMS, INC.
Entity Type:Organization
Organization Name:COMMUNITY HEALTH SYSTEMS, INC.
Other - Org Name:ACCESS HEALTH
Other - Org Type:Doing Business As
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 214
Mailing Address - Street 2:
Mailing Address - City:RAVENCLIFF
Mailing Address - State:WV
Mailing Address - Zip Code:25913-0214
Mailing Address - Country:US
Mailing Address - Phone:304-294-8133
Mailing Address - Fax:304-294-8134
Practice Address - Street 1:RT 1
Practice Address - Street 2:
Practice Address - City:RAVENCLIFF
Practice Address - State:WV
Practice Address - Zip Code:25913-0214
Practice Address - Country:US
Practice Address - Phone:304-294-8133
Practice Address - Fax:304-294-8134
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
WV0035054002Medicaid
4492234OtherAETNA
070480400OtherFEDERAL BLACK LUNG
001709417OtherBLUECROSS BLUESHIELD
WV5118311Medicare ID - Type UnspecifiedPALMETTO MEDICARE
4492234OtherAETNA
WV0035054002Medicaid