Provider Demographics
NPI:1811380728
Name:COMMUNITY HEALTH SYSTEMS INC
Entity Type:Organization
Organization Name:COMMUNITY HEALTH SYSTEMS INC
Other - Org Name:ACCESSHEALTH PHARMACY FAYETTEVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
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:ONE PHYSICIAN'S DRIVE
Mailing Address - Street 2:
Mailing Address - City:LOCHGELLY
Mailing Address - State:WV
Mailing Address - Zip Code:25866
Mailing Address - Country:US
Mailing Address - Phone:304-461-0068
Mailing Address - Fax:304-461-0071
Practice Address - Street 1:ONE PHYSICIAN'S DRIVE
Practice Address - Street 2:
Practice Address - City:LOCHGELLY
Practice Address - State:WV
Practice Address - Zip Code:25866
Practice Address - Country:US
Practice Address - Phone:304-461-0068
Practice Address - Fax:304-461-0071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-17
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVSP05523723336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2150818OtherPK