NPIMap

Organization Active NPI

Community Health Systems Inc

  • Federally Qualified Health Center (FQHC)
  • Beckley, WV
National Provider Identifier
1902561400
Registry record updated Nov 1, 2021
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
Practice address
399 Grey Flats Rd
Beckley, WV 25801-5878
Phone
(304) 252-8324
NPI assigned
Nov 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Authorized official

Name
Charles Hunt
Title
Ceo
Phone
(304) 252-8324

Specialties & licenses 1

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

Addresses

Primary practice location

399 Grey Flats Rd
Beckley, WV 25801-5878

Mailing address

101 Bill Baker Way
Beckley, WV 25801-1505
Phone (304) 252-8324

Other names 1

  • AccessHealth Beckley Elementary School Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221018001632 WV Part A Provider - Federally Qualified Health Center (FQHC) 6608785795 Practice locations: Beckley, WV

Federally qualified health center certification: CCN 581837

Legal name
COMMUNITY HEALTH SYSTEMS INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 20, 2022
Last certification
Sep 20, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
399 Grey Flats Rd
Beckley, WV 25801-5878

National Provider Directory

National Provider Directory
Tax ID family
Community Health System44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

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

View all 43

Locations

399 Grey Flats Rd
Beckley, WV 25801
Phone (304) 877-8215

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Larry Misiti Individual Corporate OfficerBoard Member Sep 1, 2018
Carl Bowman Individual Corporate OfficerBoard Member Jun 1, 2015
Chris Davis Individual Corporate OfficerBoard Member Jun 1, 2006
Maura Johnson Individual Corporate OfficerBoard Member Jun 1, 2013
Kimberly Bryant Individual Corporate OfficerBoard Member Jun 6, 2007
Carolyn Dilorenzo Individual Corporate OfficerBoard Member Jun 1, 2006
Gregory Hazuka Individual Corporate OfficerBoard Member Jun 5, 2006
Roger Fox Individual Corporate OfficerBoard Member Sep 1, 2018
Charles Hunt Individual Corporate OfficerCeo Apr 17, 2000
W-2 Managing EmployeeCeo Apr 17, 2000
Operational/Managerial ControlCeo Apr 17, 2000

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1902561400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BILL BAKER WAY",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258011505",
            "telephone_number": "304-252-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 GREY FLATS RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258015878",
            "telephone_number": "304-252-8324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-252-8324"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AccessHealth Beckley Elementary School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.