NPIMap

Organization Active NPI

Community Health & Emergency Services, Inc.

Doing business as Tamms Health Center

  • Federally Qualified Health Center (FQHC)
  • Tamms, IL
National Provider Identifier
1114919685
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH & EMERGENCY SERVICES, INC.
Doing business as
Tamms Health Center
Practice address
405 Second Street
Tamms, IL 62988
Phone
(618) 747-2391
Fax
(618) 747-2371
NPI assigned
Aug 19, 2005
Last updated
Sep 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Frederick L Bernstein
Title
Ceo
Phone
(618) 457-0450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

405 Second Street
Tamms, IL 62988

Mailing address

PO Box 3008
Carbondale, IL 62902-3008
Phone (618) 457-0450

Other identifiers 1

IdentifierTypeStateIssuer
1616948OtherILBCBS

Other names 1

  • Tamms Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101014000474 IL Part A Provider - Federally Qualified Health Center (FQHC) 0749194702 Practice locations: Tamms, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114919685. Details of each certification follow.

Federally qualified health center certification: CCN 141845

Legal name
COMMUNITY HEALTH & EMERGENCY SERVICES INC
Doing business as
TAMMS HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 29, 1981 in IL
Enrollment address
290 Railroad St
Tamms, IL 62988-5038

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Community Health Anesth18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

1160 Cedar Ct
Carbondale, IL 62901
Phone (618) 529-7000

1400 W Main St
Carmi, IL 62821
Phone (618) 382-4181

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kanci Houston Individual W-2 Managing EmployeeCeo Jun 30, 2023
Operational/Managerial ControlCeo Jun 30, 2023
Josie Eason Individual Corporate OfficerBoard Member Jul 31, 2007
Heather Green Individual Corporate OfficerBoard Member Aug 25, 2016
Charles Soward Individual Corporate OfficerTreasurer Jul 22, 1996

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1114919685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3008",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629023008",
            "telephone_number": "618-457-0450",
            "fax_number": "618-457-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SECOND STREET",
            "city": "TAMMS",
            "state": "IL",
            "postal_code": "62988",
            "telephone_number": "618-747-2391",
            "fax_number": "618-747-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH & EMERGENCY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "618-457-0450",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1616948",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tamms Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tamms, IL

Sources for this page

Verify at the official NPI Registry.