COMMUNITY HEALTH SYSTEMS, INC. (NPI# 1093226243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093226243 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH SYSTEMS, INC. |
| Other Organization Name | BLOOMINGTON COMMUNITY HEALTH CENTER - BUILDING 2 |
| Practice Address |
18651 Valley Blvd Unit A Bloomington CA 92316-1831 |
| Mailing Address |
22675 Alessandro Blvd Moreno Valley CA 92553-8551 |
| Practice Telephone | 9515712300 |
| Mailing Telephone | 9515712300 |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2017-10-16 |
| Authorized Official Name | VANESSA IVONNE ORTIZ (EXECUTIVE ASSISTANT) |
| Authorized Official Telephone | 9515712379 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bloomington Community Health Center - Building 2 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922204643 | Community Health Systems, Inc. | Clinic/Center | 7127 Harper Road, Glen Daniel, WV 25844 | 2007-06-21 |
| 1851445241 | Community Health Systems, Inc. | Clinic/Center | 2405 Northwestern Av, Ste 200, Racine, WI 53404-2534 | 2007-01-22 |
| 1588738538 | Community Health Systems, Inc. | Clinic/Center | 228 Melon St, Beckley, WV 25801 | 2006-11-20 |
| 1194897082 | Community Health Systems, Inc. | Clinic/Center | Home School Village #1, Colcord, WV 25048 | 2006-11-15 |
| 1952308009 | Community Health Systems, Inc. | Clinic/Center | 18601 Valley Blvd, Bloomington, CA 92316-1831 | 2005-07-05 |
| 1063766533 | Community Health Systems, Inc. | Pharmacy | 400 Carriage Dr, Beckley, WV 25801-2806 | 2012-11-05 |
| 1205102068 | Community Health Systems, Inc. | Family Medicine | 2933 University Ave, Riverside, CA 92507-4243 | 2012-03-27 |
| 1548538911 | Community Health Systems, Inc. | Family Medicine | 9380 Magnolia Ave, Riverside, CA 92503-3749 | 2011-12-13 |
| 1295962652 | Community Health Systems, Inc. | Clinic/Center | 2405 Northwestern Av, Ste 200, Racine, WI 53404-2534 | 2009-06-12 |
| 1457592701 | Community Health Systems, Inc. | Dentist | 435 Main St, Darlington, WI 53530-1427 | 2009-03-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY HEALTH SYSTEMS, INC. | 4000 Meridian Blvd, Franklin, TN 37067-6325 |
| Street Address |
18651 VALLEY BLVD UNIT A |
| City | BLOOMINGTON |
| State | CA |
| Zip Code | 92316-1831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811195001 | Raul A. Rodriguez Dds Inc. | Dentist | 9986 Bloomington, Bloomington, CA 92316 | 2007-07-10 |
| 1982706610 | Cathleen Helen Tapp Stewart | Dentist | 18601 Valley Boulevard, Bloomington, CA 92316 | 2006-09-02 |
| 1558840314 | Alexia Cisneros | Behavior Technician | 526 S Ironwood Ave, Bloomington, CA 92316-1218 | 2018-08-11 |
| 1295385235 | Angela Marie Sandoval | Technician | 857 S Ironwood Ave, Bloomington, CA 92316-1219 | 2019-09-11 |
| 1508348228 | Javier Sandoval Jr. | Dietitian, Registered | 516 S Linden Ave, Bloomington, CA 92316-1221 | 2018-08-29 |
| 1659746402 | Christina Kinney | Behavioral Analyst | 636 S Aspen Ave, Bloomington, CA 92316-1317 | 2015-12-04 |
| 1740634203 | Alfonso Luna IIi | Physician Assistant | 657 S Lancewood Ave, Bloomington, CA 92316-1336 | 2016-04-20 |
| 1881232650 | Sarah E Brown | Behavior Technician | 772 S Lancewood Ave, Bloomington, CA 92316-1343 | 2019-12-12 |
| 1073853255 | Alberta Frances Irons | Behavioral Analyst | 836 W Fontlee Ln, Bloomington, CA 92316-1508 | 2013-02-25 |
| 1073165650 | Genevieve Elon Monge | Family Medicine | 18651 Valley Blvd, Bloomington, CA 92316-1831 | 2019-07-12 |
| Find all providers in zip 92316 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952308009 | Community Health Systems, Inc. | Clinic/Center | 18601 Valley Blvd, Bloomington, CA 92316-1831 | 2005-07-05 |
| 1285179655 | Chestnut Health Systems Inc. | Clinic/Center | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2016-12-21 |
| 1790055952 | Chestnut Health Systems, Inc | Clinic/Center | 702 W Chestnut St, Bloomington, IL 61701-2814 | 2012-01-05 |
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| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 92316 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.