Healthcare Provider Details

I. General information

NPI: 1780719609
Provider Name (Legal Business Name): COMMUNITY HEALTH SYSTEMS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2157 RITTER DR
DANIELS WV
25832-9371
US

IV. Provider business mailing address

252 RURAL ACRES DR
BECKLEY WV
25801-3503
US

V. Phone/Fax

Practice location:
  • Phone: 304-461-0300
  • Fax:
Mailing address:
  • Phone: 304-252-8324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License NumberSP0552350
License Number StateWV

VIII. Authorized Official

Name: MR. CHARLES HUNT
Title or Position: CEO
Credential:
Phone: 304-252-8324