Healthcare Provider Details

I. General information

NPI: 1689409567
Provider Name (Legal Business Name): COMMUNITY HEALTH SYSTEMS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2024
Last Update Date: 09/03/2024
Certification Date: 09/03/2024
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: 304-252-8324
  • Fax:
Mailing address:
  • Phone: 304-252-8324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ROBERT L BUTCHER
Title or Position: CHIEF PHARMACY OFFICER
Credential: PHARMD
Phone: 304-252-8324