Healthcare Provider Details

I. General information

NPI: 1588833115
Provider Name (Legal Business Name): COMMUNITY HEALTH SYSTEMS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2008
Last Update Date: 01/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE PHYSICIANS DRIVE
LOCHGELLY WV
25866
US

IV. Provider business mailing address

252 RURAL ACRES DR
BECKLEY WV
25801-3503
US

V. Phone/Fax

Practice location:
  • Phone: 304-461-0068
  • Fax: 304-461-0071
Mailing address:
  • Phone: 304-255-6800
  • Fax: 304-256-6258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberSP0552372
License Number StateWV

VIII. Authorized Official

Name: ROBERT BUTCHER
Title or Position: CHIEF PHARMACY OFFICER
Credential: RPH
Phone: 304-255-8551