Provider Demographics
NPI:1922135425
Name:COMMUNITY HOSPITAL INC
Entity Type:Organization
Organization Name:COMMUNITY HOSPITAL INC
Other - Org Name:TUSKEGEE MEDICAL AND SURGICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:
Authorized Official - Last Name:GREER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-283-3734
Mailing Address - Street 1:301 WRIGHT ST
Mailing Address - Street 2:
Mailing Address - City:TUSKEGEE
Mailing Address - State:AL
Mailing Address - Zip Code:36083-1558
Mailing Address - Country:US
Mailing Address - Phone:334-727-5900
Mailing Address - Fax:
Practice Address - Street 1:301 WRIGHT STREET
Practice Address - Street 2:
Practice Address - City:TUSKEGEE
Practice Address - State:AL
Practice Address - Zip Code:36083-7262
Practice Address - Country:US
Practice Address - Phone:334-727-5900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALH852OtherMEDICARE GROUP ID