Provider Demographics
NPI:1669835989
Name:COMMUNITY HEALTH SYSTEMS INC.
Entity Type:Organization
Organization Name:COMMUNITY HEALTH SYSTEMS INC.
Other - Org Name:ACCESSHEALTH-NORTHERN GREENBRIER CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
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:304-252-8324
Mailing Address - Street 1:252 RURAL ACRES DR
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-3503
Mailing Address - Country:US
Mailing Address - Phone:304-252-8324
Mailing Address - Fax:
Practice Address - Street 1:8965 SHOESTRING TRAIL
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:WV
Practice Address - Zip Code:24991-0010
Practice Address - Country:US
Practice Address - Phone:304-645-7872
Practice Address - Fax:304-645-7873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-04
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty