Provider Demographics
NPI:1649342908
Name:COMMUNITY HEALTH SYSTEMS, INC.
Entity type:Organization
Organization Name:COMMUNITY HEALTH SYSTEMS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
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:304-252-8551
Mailing Address - Street 1:2157 RITTER DR
Mailing Address - Street 2:
Mailing Address - City:DANIELS
Mailing Address - State:WV
Mailing Address - Zip Code:25832-9371
Mailing Address - Country:US
Mailing Address - Phone:304-763-4326
Mailing Address - Fax:304-763-4581
Practice Address - Street 1:2157 RITTER DR
Practice Address - Street 2:
Practice Address - City:DANIELS
Practice Address - State:WV
Practice Address - Zip Code:25832-9371
Practice Address - Country:US
Practice Address - Phone:304-763-4326
Practice Address - Fax:304-763-4581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
070480400OtherFEDERAL BLACK LUNG
4492234OtherAETNA
001709417OtherBLUECROSS BLUESHIELD
WV0035054005Medicaid
070480400OtherFEDERAL BLACK LUNG
WV511893Medicare ID - Type UnspecifiedUGS MEDICARE
WV0035054005Medicaid