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
1	207Q00000X	Family Medicine Physician
2	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1669835989
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY HEALTH SYSTEMS INC.

Provider Business Mailing Address
First Line	:	252 RURAL ACRES DR
Second Line	:
City	:	BECKLEY
State	:	WV
Zip	:	25801-3503
Country	:	US
Telephone Number	:	304-252-8324
Fax Number	:

Provider Business Practice Location Address
First Line	:	8965 SHOESTRING TRAIL
Second Line	:
City	:	WILLIAMSBURG
State	:	WV
Zip	:	24991-0010
Country	:	US
Telephone Number	:	304-645-7872
Fax Number	:	304-645-7873

Authorized Official
Title or Position	:	CEO
Name	:	CHARLES HUNT
Credential	:
Telephone Number	:	304-252-8324

Provider Enumeration Date	:	04/04/2016
Last Update Date	:	06/21/2016

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