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General NPI Number Information
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NPI Number | 1245400969
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH CARE SYSTEMS, INC.
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Dates
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Enumeration Date | 03/10/2008
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Last Update Date | 03/02/2016
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Provider Practice Location Address
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Address Line | 702 WEST MAIN ST
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City | GIBSON
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State | GA
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Zip | 30810-4135
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Country | US
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Telephone | 706-598-3359
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Fax | 706-598-3403
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Provider Business Mailing Address
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Address Line | PO BOX 371
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City | WRIGHTSVILLE
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State | GA
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Zip | 31096-0371
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Country | US
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Telephone | 478-864-3448
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Fax | 478-864-1288
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Authorized Official
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Title or Position | CEO
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Name | CARLA W BELCHER
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Credential |
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Telephone | 478-552-7384
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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 |
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