Healthcare Provider Details

I. General information

NPI: 1184389694
Provider Name (Legal Business Name): COMMUNITY HEALTH SYSTEMS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2021
Last Update Date: 11/01/2021
Certification Date: 10/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2750 FLAT TOP ROAD
GHENT WV
25843
US

IV. Provider business mailing address

101 BILL BAKER WAY
BECKLEY WV
25801-1505
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

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