| Community Health Systems, Inc. | |
|
Home School Village #1 Colcord WV 25048 | |
| (304) 854-1324 | |
| (304) 854-1996 |
| Full Name | Community Health Systems, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | Home School Village #1, Colcord, West Virginia |
| Authorized Official Name and Position | Charles Hunt (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3042528551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Systems, Inc. Po Box 147 Dorothy WV 25060-0147 Ph: (304) 854-1324 | Community Health Systems, Inc. Home School Village #1 Colcord WV 25048 Ph: (304) 854-1324 |
| NPI Number | 1194897082 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 05/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194897082 | NPI | - | NPPES |
| 0035054000 | Medicaid | WV | |
| 4492234 | Other | AETNA | |
| 070480400 | Other | FEDERAL BLACK LUNG | |
| 001709417 | Other | BLUECROSS BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |