Provider Demographics
NPI:1669553129
Name:COMMUNITY HEALTH ENTERPRISES, INC.
Entity type:Organization
Organization Name:COMMUNITY HEALTH ENTERPRISES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZELEZNY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-324-4772
Mailing Address - Street 1:PO BOX 5473
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93755-5473
Mailing Address - Country:US
Mailing Address - Phone:559-724-4242
Mailing Address - Fax:559-724-4235
Practice Address - Street 1:1630 E. SHAW AVE
Practice Address - Street 2:SUITE 172
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-8115
Practice Address - Country:US
Practice Address - Phone:559-724-4242
Practice Address - Fax:559-724-4235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0195530002Medicare NSC