Provider Demographics
NPI:1922204643
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:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-252-8374
Mailing Address - Street 1:7127 HARPER ROAD
Mailing Address - Street 2:
Mailing Address - City:GLEN DANIEL
Mailing Address - State:WV
Mailing Address - Zip Code:25844
Mailing Address - Country:US
Mailing Address - Phone:304-934-4000
Mailing Address - Fax:304-934-4005
Practice Address - Street 1:7127 HARPER ROAD
Practice Address - Street 2:
Practice Address - City:GLEN DANIEL
Practice Address - State:WV
Practice Address - Zip Code:25844
Practice Address - Country:US
Practice Address - Phone:304-934-4000
Practice Address - Fax:304-934-4005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
4492234OtherAETNA
4492234OtherAETNA
WV511829Medicare ID - Type UnspecifiedUGS MEDICARE
WV5118291Medicare ID - Type UnspecifiedPALMETTO MEDICARE