COMMUNITY HEALTH SYSTEMS INC (NPI# 1669524534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669524534 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH SYSTEMS INC |
| Other Organization Name | EASTSIDE COMMUNITY HEALTH CLINIC |
| Practice Address |
1744 University Ave Riverside CA 92507-5364 |
| Mailing Address |
22675 Alessandro Blvd Moreno Valley CA 92553-8551 |
| Practice Telephone | 9512248220 |
| Practice Fax Number | 9512248230 |
| Mailing Telephone | 9515712300 |
| Mailing Fax Number | 9515712330 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2011-09-02 |
| Authorized Official Name | JACK E JOHNS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9515712300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 47987 | CA | Dental Providers |
| N | 122300000X | Dentist | 40093 | CA | Dental Providers |
| N | 122300000X | Dentist | 27343 | CA | Dental Providers |
| N | 122300000X | Dentist | 58321 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
40996 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
40734 | CA | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
46894 | CA | Dental Providers |
| N | 207Q00000X | Family Medicine | A50693 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | A86874 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 11901 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 15571 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 11428 | CA | Allopathic & Osteopathic Physicians |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
250000756 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1669524534 | 05 | |
| CA | EAP70324F | 05 |
| Other Name | Type Code |
|---|---|
| Eastside Community Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528618907 | Community Health Systems Inc | Family Medicine | 351 4h Lake Rd, Daniels, WV 25832-9531 | 2019-09-17 |
| 1790335578 | Community Health Systems Inc | Family Medicine | 104 Pershing St, Beckley, WV 25801-5940 | 2019-09-13 |
| 1538718549 | Community Health Systems Inc | Family Medicine | 4851 Clear Fork Rd, Artie, WV 25008-9515 | 2019-09-11 |
| 1407405418 | Community Health Systems Inc | Family Medicine | 5960 Coal River Rd, Rock Creek, WV 25174-9681 | 2019-09-11 |
| 1689191751 | Community Health Systems Inc | Family Medicine | 4575 Robert C Byrd Dr, Beckley, WV 25801-8141 | 2017-08-29 |
| 1083061840 | Community Health Systems Inc | Family Medicine | 202 Bill Barker Way, Beckley, WV 25801-3503 | 2016-05-20 |
| 1811380728 | Community Health Systems Inc | Pharmacy | One Physician's Drive, Lochgelly, WV 25866 | 2015-03-17 |
| 1487889010 | Community Health Systems Inc | Pharmacy | 131 Mellon St, Beckley, WV 25801 | 2009-05-27 |
| 1588833115 | Community Health Systems Inc | Pharmacy | One Physicians Drive, Lochgelly, WV 25866 | 2008-02-28 |
| 1982756086 | Community Health Systems Inc | Obstetrics & Gynecology | 1328 S Mission Rd, Fallbrook, CA 92028-4006 | 2007-01-17 |
| Street Address |
1744 UNIVERSITY AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-5364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730614694 | Jose Lucio Vela Gonzales | Dentist | 1744 University Ave, Suite 102, Riverside, CA 92507-5364 | 2017-04-27 |
| 1215365754 | Moreno Valley Urgent Care Clinic, Inc | Clinic/Center | 1744 University Ave, Suite 100, Riverside, CA 92507-5364 | 2013-10-18 |
| 1558653592 | Dr. Flores & Dr. Yabar Dental Office | Dentist | 1744 University Ave, Suite#102, Riverside, CA 92507-5364 | 2011-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1538407325 | Urban Community Action Projects | Clinic/Center | 2880 Hulen Place, Riverside, CA 92507-2606 | 2013-01-29 |
| 1306131545 | Borrego Community Health Foundation | Clinic/Center | 8856 Arlington Avenue, Riverside, CA 92503-1365 | 2011-06-16 |
| 1568557205 | Swope Health Services | Clinic/Center | 2906 Nw Vivion Rd, Riverside, MO 64150-1502 | 2006-10-04 |
| 1447872577 | H Street Clinic Inc | Clinic/Center | 3750 Arlington Ave, Riverside, CA 92506-2607 | 2020-05-12 |
| 1275173676 | Borrego Community Health Foundation | Clinic/Center | 4990 Arlington Ave Ste D, Riverside, CA 92504-2757 | 2020-01-14 |
| 1043777089 | Unicare Community Health Center Inc | Clinic/Center | 5549 Van Buren Blvd, Riverside, CA 92503-2068 | 2019-02-26 |
| 1285029462 | Urban Community Action Projects | Clinic/Center | 2880 Hulen Pl, Riverside, CA 92507-2606 | 2015-04-03 |
| 1174950588 | Urban Community Action Projects | Clinic/Center | 5870 Arlington Ave, Suite 103, Riverside, CA 92504-2037 | 2013-09-30 |
| 1336492974 | Devadas Moses | Clinic/Center | 2880 Hulen Pl, Riverside, CA 92507-2606 | 2012-10-19 |
| Find all providers in RIVERSIDE | ||||
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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.