1215684063 NPI number — COMMUNITY HEALTH SYSTEMS, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215684063 NPI number — COMMUNITY HEALTH SYSTEMS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COMMUNITY HEALTH SYSTEMS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215684063
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/19/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
21801 ALESSANDRO BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MORENO VALLEY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92553-8202
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
951-571-2300
Provider Business Mailing Address Fax Number:
951-379-0482

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
18651 VALLEY BLVD UNIT C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BLOOMINGTON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92316-1831
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-546-7520
Provider Business Practice Location Address Fax Number:
909-877-5468
Provider Enumeration Date:
03/02/2022

Additional Information

Authorized Official

Authorized Official Last Name:
ORTIZ
Authorized Official First Name:
VANESSA
Authorized Official Middle Name:
IVONNE
Authorized Official Title or Position:
SR. EXECUTIVE ASSISTANT
Authorized Official Telephone Number:
951-571-2300

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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