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	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1700622404
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY HEALTH SYSTEMS, INC.

Provider Business Mailing Address
First Line	:	7880 MISSION GROVE PKWY S
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92508-6000
Country	:	US
Telephone Number	:	951-571-2300
Fax Number	:	951-200-3063

Provider Business Practice Location Address
First Line	:	1743 RECHE RD
Second Line	:
City	:	FALLBROOK
State	:	CA
Zip	:	92028-3624
Country	:	US
Telephone Number	:	760-451-4741
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LORI HOLEMAN
Credential	:
Telephone Number	:	951-571-2300

Provider Enumeration Date	:	07/02/2024
Last Update Date	:	03/05/2026

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