Healthcare Provider Details
I. General information
NPI: 1992174544
Provider Name (Legal Business Name): COMMUNITY HEALTH SYSTEMS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/24/2015
Last Update Date: 09/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
131 MELLON ST
BECKLEY WV
25801-3535
US
IV. Provider business mailing address
252 RURAL ACRES DR
BECKLEY WV
25801-3503
US
V. Phone/Fax
- Phone: 304-461-0420
- Fax: 304-461-0421
- Phone: 304-252-8324
- Fax: 304-252-4255
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336S0011X |
| Taxonomy | Specialty Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | SP0552391 |
| License Number State | WV |
VIII. Authorized Official
Name:
CHARLES
HUNT
Title or Position: CEO
Credential:
Phone: 304-252-8324