Organization
COMMUNITY HEALTH SYSTEMS, INC.
Active
Parent organization
COMMUNITY HEALTH SYSTEMS, INC.
Other names
Fallbrook Women's Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HEALTH SYSTEMS, INC.
Authorized official
MR. JACK E JOHNS (CHIEF EXECUTIVE OFFICER)
(951) 571-2300
Entity
Organization
Contact information
Practice address
1328 S MISSION RD, FALLBROOK, CA 92028-4006
(760) 451-4730
(760) 451-4700
Mailing address
22675 ALESSANDRO BLVD, MORENO VALLEY, CA 92553-8551
(951) 571-2300
(951) 571-2330
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
080000150
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982756086
—
CA
05
—
4998231
—
CA
05
—
BCP70275G
—
CA
05
—
EAP70324F
—
CA
05
—
HAP70275G
—
CA
Enumeration date
03/05/2009
Last updated
05/10/2011
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