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General NPI Number Information
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NPI Number | 1952308009
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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 | 07/05/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 18601 VALLEY BLVD
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City | BLOOMINGTON
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State | CA
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Zip | 92316-1831
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Country | US
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Telephone | 909-877-1818
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Fax | 909-746-0400
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Provider Business Mailing Address
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Address Line | 18601 VALLEY BLVD
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City | BLOOMINGTON
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State | CA
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Zip | 92316-1831
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Country | US
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Telephone | 909-877-1818
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Fax | 909-746-0400
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. BOBBY VASCOVICH
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Credential |
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Telephone | 909-877-1818
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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 | 240000086
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number | 250000756
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number | 250000807
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number | 080000150
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License Number State | CA
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