Healthcare Provider Details

I. General information

NPI: 1437322492
Provider Name (Legal Business Name): COMMUNITY HEALTH & EMERGENCY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2008
Last Update Date: 04/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

IL ROUTE 146 BUILDING 2
ELIZABETHTOWN IL
62931
US

IV. Provider business mailing address

PO BOX 37 IL ROUTE 146 BUILDING 2
ELIZABETHTOWN IL
62931
US

V. Phone/Fax

Practice location:
  • Phone: 618-285-6191
  • Fax:
Mailing address:
  • Phone: 618-285-6191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: MR. FREDERICK BERNSTEIN
Title or Position: C.E.O.
Credential:
Phone: 618-734-4400