Provider Demographics
NPI:1205957032
Name:COMMUNITY HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:COMMUNITY HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAZ
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LUTGRING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-920-5423
Mailing Address - Street 1:405 CASTLE CREEK RD STE 6
Mailing Address - Street 2:
Mailing Address - City:ASPEN
Mailing Address - State:CO
Mailing Address - Zip Code:81611-3125
Mailing Address - Country:US
Mailing Address - Phone:970-920-5423
Mailing Address - Fax:970-920-5419
Practice Address - Street 1:405 CASTLE CREEK RD STE 6
Practice Address - Street 2:
Practice Address - City:ASPEN
Practice Address - State:CO
Practice Address - Zip Code:81611-3125
Practice Address - Country:US
Practice Address - Phone:970-920-5423
Practice Address - Fax:970-920-5419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04540449Medicaid
CO04010146Medicaid
CO04540449Medicaid