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General NPI Number Information
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NPI Number | 1073506465
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH SYSTEMS INC.
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Dates
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Enumeration Date | 08/31/2005
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 5493 MAPLE LN
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City | FAYETTEVILLE
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State | WV
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Zip | 25840-6872
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Country | US
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Telephone | 304-469-3334
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Fax | 304-465-1735
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Provider Business Mailing Address
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Address Line | 252 RURAL ACRES DR.
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City | BECKLEY
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State | WV
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Zip | 25801
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Country | US
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Telephone | 304-252-8324
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. CHARLES HUNT I
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Credential |
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Telephone | 304-252-2324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State | WV
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