COMMUNITY HEALTH CARE SYSTEMS, INC. (NPI# 1104876390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104876390 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CARE SYSTEMS, INC. |
| Other Organization Name | TENNILLE COMMUNITY HEALTH CENTER |
| Practice Address |
116 Smith St Tennille GA 31089-1465 |
| Mailing Address |
2251 W Elm St Wrightsville GA 31096-2017 |
| Practice Telephone | 4785527384 |
| Practice Fax Number | 4785521198 |
| Mailing Telephone | 4788643448 |
| Mailing Fax Number | 4788641288 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2011-11-22 |
| Authorized Official Name | MRS. LYNN W PRICE (INSURANCE SUPERVISOR) |
| Authorized Official Telephone | 4788643448 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000521023G | 05 | |
| GA | 300029381A | 05 |
| Other Name | Type Code |
|---|---|
| TENNILLE COMMUNITY HEALTH CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194996421 | Community Health Care Systems, Inc. | Clinic/Center | 101 Watson Rd, Jeffersonville, GA 31044 | 2008-03-14 |
| 1245400969 | Community Health Care Systems, Inc. | Clinic/Center | 702 West Main St, Gibson, GA 30810-4135 | 2008-03-10 |
| 1245417435 | Community Health Care Systems, Inc. | Clinic/Center | 675 Hamilton St, Sparta, GA 31087-1837 | 2008-01-30 |
| 1952712689 | Community Health Care Systems, Inc. | Clinic/Center | 623 N Main St, Wrens, GA 30833-1178 | 2014-05-15 |
| 1336378892 | Community Health Care Systems, Inc. | Clinic/Center | 107 Fairview Park Dr, Dublin, GA 31021 | 2009-07-06 |
| 1932150422 | Community Health Care Systems, Inc. | Clinic/Center | 2251 W Elm St, Wrightsville, GA 31096-2017 | 2006-05-12 |
| Street Address |
116 SMITH ST |
| City | TENNILLE |
| State | GA |
| Zip Code | 31089-1465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659787034 | Sharon Massengale | Nurse Practitioner | 116 Smith St, Tennille, GA 31089-1465 | 2014-07-07 |
| 1023353497 | Alesha Michelle Edwards | Podiatrist | 116 Smith St, Tennille, GA 31089-1465 | 2012-12-11 |
| 1053467308 | Tanya Yvonne Jones | Family Medicine | 116 Smith St, Tennille, GA 31089-1465 | 2007-01-26 |
| 1306908546 | Bridgett C Bailey | Family Medicine | 116 Smith St, Tennille, GA 31089-1465 | 2006-12-14 |
| 1306920954 | Jane Paulk | Nurse Practitioner | 116 Smith St, Tennille, GA 31089-1465 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427369966 | Tennille Retirement Home, LLC | Assisted Living Facility | 525 N Main St, Tennille, GA 31089-1128 | 2010-06-30 |
| 1437719176 | Yontia Kewanda Brookins | Case Manager/Care Coordinator | 105 E 3rd Ave, Tennille, GA 31089-1340 | 2019-06-15 |
| 1689186223 | Majestic Senior Living Tennille LLC | Assisted Living Facility | 401 Martin Luther King Jr Blvd, Tennille, GA 31089-1438 | 2017-11-03 |
| 1942452065 | Lisa G Lamar | Home Health Aide | 517 Martin Luther King Jr Blvd, Tennille, GA 31089-1440 | 2008-10-21 |
| 1134694094 | Debbie Pierce Price | Counselor | 12182 Ga Highway 68 S, Tennille, GA 31089-2971 | 2018-10-08 |
| 1871845040 | Jessica Marie Womble | Driver | 731 Grady Mertz Rd, Tennille, GA 31089-3215 | 2012-10-11 |
| 1487649158 | April Babb Crisp | Counselor | 140 Jerry Brantley Ln, Tennille, GA 31089-3421 | 2005-09-19 |
| 1427696384 | Candis Julie Spivey | Specialist/Technologist, Other | 923 Irwin Rd, Tennille, GA 31089-3861 | 2019-12-11 |
| 1407455462 | Extending A Hand Home Care | Durable Medical Equipment & Medical Supplies | 207 Mill Ln, Tennille, GA 31089-4308 | 2020-10-21 |
| 1457987018 | Wende Sumner | Behavior Technician | 732 Old Watermelon Rd, Tennille, GA 31089-5544 | 2020-03-16 |
| Find all providers in zip 31089 | ||||
| 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 |
|---|---|---|---|---|
| 1891395620 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 8a Probasco Street Unit 214, Lafayette, GA 30728 | 2020-10-30 |
| 1366066243 | Health Education Assessment and Leadership Inc | Clinic/Center | 225 Griffin St Nw, Atlanta, GA 30314-3917 | 2020-06-05 |
| 1851924377 | Valley Healthcare System | Clinic/Center | 1458 Benning Dr, Columbus, GA 31903-2200 | 2020-02-13 |
| 1952941528 | Curtis V. Cooper Primary Health Care, Inc | Clinic/Center | 400 E Broad St, Savannah, GA 31401-5104 | 2020-01-13 |
| 1023658523 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1407 Cobb Parkway Nw, Marietta, GA 30060-6546 | 2020-01-13 |
| 1467092221 | Careconnect Health, Inc. | Clinic/Center | 130 N Lee St, Forsyth, GA 31029-2122 | 2020-01-09 |
| 1417597238 | The Family Health Centers of Georgia, Inc | Clinic/Center | 19 John Maddox Dr Nw Ste B, Rome, GA 30165-1477 | 2020-01-09 |
| 1649810714 | Careconnect Health, Inc. | Clinic/Center | 254 Wright Avenue, Roberta, GA 31078 | 2020-01-07 |
| 1437798725 | Careconnect Health, Inc. | Clinic/Center | 414 S Frontage Rd Lot 53, Forsyth, GA 31029-3025 | 2020-01-03 |
| 1285277608 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1976 Flat Shoals Rd Se Ste B, Atlanta, GA 30316-2857 | 2019-10-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COMMUNITY HEALTH CARE SYSTEMS, INC..
| 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.