Provider Demographics
NPI:1437322492
Name:COMMUNITY HEALTH & EMERGENCY SERVICES, INC.
Entity Type:Organization
Organization Name:COMMUNITY HEALTH & EMERGENCY SERVICES, INC.
Other - Org Name:HARDIN COUNTY DENTAL CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-734-4400
Mailing Address - Street 1:PO BOX 37
Mailing Address - Street 2:IL ROUTE 146 BUILDING 2
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:IL
Mailing Address - Zip Code:62931
Mailing Address - Country:US
Mailing Address - Phone:618-285-6191
Mailing Address - Fax:
Practice Address - Street 1:IL ROUTE 146 BUILDING 2
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:IL
Practice Address - Zip Code:62931
Practice Address - Country:US
Practice Address - Phone:618-285-6191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty