Provider Demographics
NPI:1609050624
Name:COMMUNITY HEALTH & EMERGENCY SERVICES INC
Entity Type:Organization
Organization Name:COMMUNITY HEALTH & EMERGENCY SERVICES INC
Other - Org Name:TAMMS 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:618-457-0450
Mailing Address - Street 1:13245 KESSLER RD
Mailing Address - Street 2:
Mailing Address - City:CAIRO
Mailing Address - State:IL
Mailing Address - Zip Code:62914-3101
Mailing Address - Country:US
Mailing Address - Phone:618-734-4400
Mailing Address - Fax:618-734-2884
Practice Address - Street 1:405 SECOND STREET
Practice Address - Street 2:
Practice Address - City:TAMMS
Practice Address - State:IL
Practice Address - Zip Code:62988
Practice Address - Country:US
Practice Address - Phone:618-747-2391
Practice Address - Fax:618-747-2371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty