1588833115 NPI number — COMMUNITY HEALTH SYSTEMS INC

Table of content: (NPI 1588833115)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588833115 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:
COMMUNITY HEALTH SYSTEMS INC
Provider Other Organization Name Type Code:
3
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:
1588833115
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/23/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
252 RURAL ACRES DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BECKLEY
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
25801-3503
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-255-6800
Provider Business Mailing Address Fax Number:
304-256-6258

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
ONE PHYSICIANS DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOCHGELLY
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25866
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-461-0068
Provider Business Practice Location Address Fax Number:
304-461-0071
Provider Enumeration Date:
02/28/2008

Additional Information

Authorized Official

Authorized Official Last Name:
BUTCHER
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF PHARMACY OFFICER
Authorized Official Telephone Number:
304-255-8551

Provider Taxonomy Codes

  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0002X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: SP0552372 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3336C0004X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 3810013656 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2111735 . This is a "PK" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com