Provider Demographics
NPI:1538497235
Name:COMMUNITY HEALTHCARE SERVICES, INC.
Entity Type:Organization
Organization Name:COMMUNITY HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCORSATTO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:877-616-6247
Mailing Address - Street 1:24747 REDLANDS BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-4026
Mailing Address - Country:US
Mailing Address - Phone:877-616-6247
Mailing Address - Fax:909-796-2830
Practice Address - Street 1:24747 REDLANDS BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-4026
Practice Address - Country:US
Practice Address - Phone:877-616-6247
Practice Address - Fax:909-796-2830
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NCHS HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-11-18
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY501293336C0003X, 3336H0001X, 3336M0002X, 3336M0003X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336M0003XSuppliersPharmacyManaged Care Organization Pharmacy