NPIMap

Organization Active NPI

Community Health Systems, Inc.

Doing business as Access Health

  • Federally Qualified Health Center (FQHC)
  • Daniels, WV
National Provider Identifier
1649342908
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH SYSTEMS, INC.
Doing business as
Access Health
Practice address
2157 Ritter Dr
Daniels, WV 25832-9371
Phone
(304) 763-4326
Fax
(304) 763-4581
NPI assigned
Nov 14, 2006
Last updated
May 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Charles Hunt
Title
Executive Director
Phone
(304) 252-8551

Specialties & licenses 1

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

Addresses

Primary practice location

2157 Ritter Dr
Daniels, WV 25832-9371

Mailing address

2157 Ritter Dr
Daniels, WV 25832-9371
Phone (304) 763-4326

Other identifiers 4

IdentifierTypeStateIssuer
001709417OtherBLUECROSS BLUESHIELD
0035054005MedicaidWV
070480400OtherFEDERAL BLACK LUNG
4492234OtherAETNA

Other names 1

  • Access Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040311000504 WV Part B Supplier - Public Health/Welfare Agency 6608785795 Receives reassigned benefits from 106 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Beckley, WV
O20101027000857 WV Part A Provider - Federally Qualified Health Center (FQHC) 6608785795 Practice locations: Daniels, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649342908. Details of each certification follow.

Federally qualified health center certification: CCN 511893

Legal name
COMMUNITY HEALTH SYSTEMS INC
Doing business as
ACCESSHEALTH-DANIELS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 6, 2003
Last certification
Jun 6, 2003
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jun 20, 1967 in WV
Enrollment address
2157 Ritter Dr
Daniels, WV 25832-9371

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Carl Bowman Individual Corporate OfficerBoard Member Jun 5, 2006
Corporate DirectorBoard Member Jun 5, 2006
Chris Davis Individual Corporate OfficerBoard Member Jun 5, 2006
Corporate DirectorBoard Member Jun 5, 2006
Carolyn Dilorenzo Individual Corporate OfficerBoard Member Jul 22, 2007
Corporate DirectorBoard Member Jul 22, 2007
Jane Flanagan Individual Corporate OfficerBoard Member Aug 14, 2006
Corporate DirectorBoard Member Aug 14, 2006
Gregory Hazuka Individual Corporate OfficerBoard Member Jun 5, 2006
Charles Hunt Individual Corporate Director Aug 26, 2010
W-2 Managing Employee Aug 26, 2010

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Access HealthWelch, WV, CCN 511151 Federally qualified health center Operational/Managerial Control Aug 25, 2017
Community Health Systems IncBeckley, WV, CCN 511159 Federally qualified health center Operational/Managerial Control Oct 1, 2018
AccesshealthBeckley, WV, CCN 511175 Federally qualified health center Operational/Managerial Control Aug 1, 2019
Accesshealth Daniels Elementary SchoolDaniels, WV, CCN 511180 Federally qualified health center Operational/Managerial Control Apr 17, 2000
Community Health Systems IncBeckley, WV, CCN 581840 Federally qualified health center Operational/Managerial Control Apr 17, 2000
Accesshealth Stratton ElementaryBeckley, WV, CCN 581072 Federally qualified health center Operational/Managerial Control Oct 31, 2023

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1649342908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2157 RITTER DR",
            "city": "DANIELS",
            "state": "WV",
            "postal_code": "258329371",
            "telephone_number": "304-763-4326",
            "fax_number": "304-763-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 RITTER DR",
            "city": "DANIELS",
            "state": "WV",
            "postal_code": "258329371",
            "telephone_number": "304-763-4326",
            "fax_number": "304-763-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-252-8551"
    },
    "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": "BLUECROSS BLUESHIELD",
            "identifier": "001709417",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0035054005",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "070480400",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4492234",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daniels, WV

Sources for this page

Verify at the official NPI Registry.