Provider Demographics
NPI:1265506687
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 1:302 CARRIAGE DR
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-2812
Mailing Address - Country:US
Mailing Address - Phone:304-250-0333
Mailing Address - Fax:304-250-0334
Practice Address - Street 1:302 CARRIAGE DR
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-2812
Practice Address - Country:US
Practice Address - Phone:304-250-0333
Practice Address - Fax:304-250-0334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810002948Medicaid
070480400OtherFEDERAL BLACK LUNG
001709417OtherBLUECROSS BLUESHIELD
4492234OtherAETNA
WV511892Medicare ID - Type UnspecifiedUGS MEDICARE
WV3810002948Medicaid
070480400OtherFEDERAL BLACK LUNG