Organization
COMMUNITY HEALTH SYSTEMS, INC.
Active
Other names
Access Health
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES HUNT (EXECUTIVE DIRECTOR)
(304) 252-8551
Entity
Organization
Contact information
Practice address
RT 1, RAVENCLIFF, WV 25913-0214
(304) 294-8133
(304) 294-8134
Mailing address
PO BOX 214, RAVENCLIFF, WV 25913-0214
(304) 294-8133
(304) 294-8134
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001709417
BLUECROSS BLUESHIELD
—
05
—
0035054002
—
WV
01
—
070480400
FEDERAL BLACK LUNG
—
01
—
4492234
AETNA
—
Enumeration date
11/15/2006
Last updated
05/30/2008
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