Healthcare Provider Details

I. General information

NPI: 1689190316
Provider Name (Legal Business Name): COMMUNITY HEALTH SYSTEMS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2017
Last Update Date: 08/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

904 HARRISON ST
PRINCETON WV
24740-3011
US

IV. Provider business mailing address

101 BILL BAKER WAY
BECKLEY WV
25801-1505
US

V. Phone/Fax

Practice location:
  • Phone: 304-431-7100
  • Fax: 304-437-7112
Mailing address:
  • Phone: 304-252-8324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

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