1780719609 NPI number — COMMUNITY HEALTH SYSTEMS INC.

Table of content: (NPI 1780719609)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780719609 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:
6
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:
1780719609
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/07/2023
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:
304-252-8324
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2157 RITTER DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DANIELS
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25832-9371
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-461-0300
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/22/2007

Additional Information

Authorized Official

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

Provider Taxonomy Codes

  • Taxonomy code: 3336C0002X , with the licence number:  SP0552350 , 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)

  • Identifier: 5054440 . This is a "NABP" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: SP0552350 . This is a "STATE PHARMACY NUMBER" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".




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