1962698118 NPI number — COMMUNITY HEALTH SYTEMS, INC

Table of content: (NPI 1962698118)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962698118 NPI number — COMMUNITY HEALTH SYTEMS, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COMMUNITY HEALTH SYTEMS, 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:
ACCESS HEALTH PHARMACY- GLEN DANIEL
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:
1962698118
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/21/2007
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:
7127 HARPER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GLEN DANIEL
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25844
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-934-4001
Provider Business Practice Location Address Fax Number:
304-934-7146
Provider Enumeration Date:
09/21/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BUTCHER
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF PHARMACY
Authorized Official Telephone Number:
304-255-6800

Provider Taxonomy Codes

  • Taxonomy code: 3336C0002X , with the licence number:  MP0552349 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2024 www.npivalidator.com