Provider Demographics
NPI:1053469379
Name:COMMUNITY HEALTH SYSTEMS
Entity Type:Organization
Organization Name:COMMUNITY HEALTH SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:V
Authorized Official - Last Name:VASCOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:MR
Authorized Official - Phone:951-588-0861
Mailing Address - Street 1:1970 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-5202
Mailing Address - Country:US
Mailing Address - Phone:951-276-0668
Mailing Address - Fax:951-328-9578
Practice Address - Street 1:1970 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-5202
Practice Address - Country:US
Practice Address - Phone:951-276-0668
Practice Address - Fax:951-328-9578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA471801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty