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COMMUNITY HEALTH SYSTEMS INC NPI 1669524534


NPI Information

NPI: 1669524534
Provider Name: COMMUNITY HEALTH SYSTEMS INC

Doing Business As: EASTSIDE COMMUNITY HEALTH CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1744 UNIVERSITY AVE
RIVERSIDE, CA
ZIP 92507
Phone: (951) 224-8220
Get Directions

COMMUNITY HEALTH SYSTEMS INC is a federally qualified health center (fqhc) clinic center in Riverside, CA. COMMUNITY HEALTH SYSTEMS INC NPI is 1669524534. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Eastside Community Health Clinic.

The provider's business location address is:

1744 UNIVERSITY AVE
RIVERSIDE, CA
ZIP 92507-364
Phone: (951) 224-8220
Fax: (951) 224-8230

The provider's authorized official is Jack E Johns .
The authorized official title is Chief Executive Officer and has the following contact phone number (951) 571-2300.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 9/2/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist47987CALIFORNIANo
2122300000XDentist40093CALIFORNIANo
3122300000XDentist27343CALIFORNIANo
4122300000XDentist58321CALIFORNIANo
51223G0001XDentistGeneral Practice40996CALIFORNIANo
61223G0001XDentistGeneral Practice40734CALIFORNIANo
71223P0221XDentistPediatric Dentistry46894CALIFORNIANo
8207Q00000XFamily MedicineA50693CALIFORNIANo
9207Q00000XFamily MedicineA86874CALIFORNIANo
10207Q00000XFamily Medicine11901CALIFORNIANo
11207Q00000XFamily Medicine15571CALIFORNIANo
12207Q00000XFamily Medicine11428CALIFORNIANo
13261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)250000756CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CK277AMEDICARE PINCALIFORNIA
2EAP70324FMEDICAIDCALIFORNIA
3551914MEDICARE OSCAR/CERTIFICATIONCALIFORNIA
41669524534MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.