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NPI Code Detail

MEDICARE: COMMUNITY HEALTH SYSTEMS, INC.

MEDICARE: COMMUNITY HEALTH SYSTEMS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician080000150CA

Other Identifiers

General Provider Information

NPI Number : 1467692392
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY HEALTH SYSTEMS, INC.
Provider Business Mailing Address
First Line : 22675 ALESSANDRO BLVD
Second Line :
City : MORENO VALLEY
State : CA
Zip : 92553-8551
Country : US
Telephone Number : 951-571-2300
Fax Number : 951-571-2330
Provider Business Practice Location Address
First Line : 1328 S MISSION RD
Second Line :
City : FALLBROOK
State : CA
Zip : 92028-4006
Country : US
Telephone Number : 760-451-4730
Fax Number : 760-451-4700
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. JACK E JOHNS
Credential :
Telephone Number : 951-571-2300
Provider Enumeration Date : 03/05/2009
Last Update Date : 05/10/2011

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1306078522 — DR. JOHN D NGUYEN M.D.
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Directions to “COMMUNITY HEALTH SYSTEMS, INC. ” Practice Location

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