Provider Demographics
NPI:1679093645
Name:COMMUNITY HEALTH CARE SYSTEMS, INC
Entity Type:Organization
Organization Name:COMMUNITY HEALTH CARE SYSTEMS, INC
Other - Org Name:CHCS INC, PHARMACY
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:WALKER
Authorized Official - Last Name:BELCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-552-7384
Mailing Address - Street 1:1008 ATLANTA HIGHWAY
Mailing Address - Street 2:CHCS, INC PHARMACY
Mailing Address - City:WARRENTON
Mailing Address - State:GA
Mailing Address - Zip Code:30828
Mailing Address - Country:US
Mailing Address - Phone:706-465-3253
Mailing Address - Fax:706-465-3028
Practice Address - Street 1:1008 ATLANTA HIGHWAY
Practice Address - Street 2:CHCS, INC PHARMACY
Practice Address - City:WARRENTON
Practice Address - State:GA
Practice Address - Zip Code:30828
Practice Address - Country:US
Practice Address - Phone:706-465-3253
Practice Address - Fax:706-465-3028
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY HEALTH CARE SYSTEMS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-21
Last Update Date:2017-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHREO103563336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy