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General NPI Number Information
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NPI Number | 1336378892
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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 | 07/06/2009
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Last Update Date | 05/29/2018
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Provider Practice Location Address
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Address Line | 107 FAIRVIEW PARK DR
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City | DUBLIN
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State | GA
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Zip | 31021
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Country | US
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Telephone | 478-272-3446
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Fax | 478-864-1288
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Provider Business Mailing Address
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Address Line | 2251 W ELM ST P O BOX 371
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City | WRIGHTSVILLE
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State | GA
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Zip | 31096-2017
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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 | 478-552-1620
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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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