Organization
COMMUNITY HEALTH SYSTEMS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES HUNT I (CEO)
(304) 252-2324
Entity
Organization
Contact information
Practice address
5493 MAPLE LN, FAYETTEVILLE, WV 25840-6872
(304) 469-3334
(304) 465-1735
Mailing address
252 RURAL ACRES DR., BECKLEY, WV 25801
(304) 252-8324
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO5119301
MEDICARE PTAN
WV
Enumeration date
08/31/2005
Last updated
08/07/2024
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