COMMUNITY HEALTH SYSTEMS, INC. (NPI# 1851445241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851445241 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH SYSTEMS, INC. |
| Other Organization Name | RACINE COMMUNITY HEALTH CENTER |
| Practice Address |
2405 Northwestern Av Ste 200 Racine WI 53404-2534 |
| Mailing Address |
690 3rd St Beloit WI 53511-6214 |
| Practice Telephone | 2628983348 |
| Practice Fax Number | 2628983290 |
| Mailing Telephone | 6083610311 |
| Mailing Fax Number | 6083616131 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2011-03-02 |
| Authorized Official Name | RICHARD A. PERRY (CEO) |
| Authorized Official Telephone | 6083610311 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY HEALTH SYSTEMS, INC. |
| Parent Organization TIN |
|
| 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 |
|---|---|---|---|
| WI | MEDICARE FQHC | 521833 | 01 |
| WI | 32959300 | 05 |
| Other Name | Type Code |
|---|---|
| Racine Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093226243 | Community Health Systems, Inc. | Clinic/Center | 18651 Valley Blvd Unit A, Bloomington, CA 92316-1831 | 2017-10-16 |
| 1922204643 | Community Health Systems, Inc. | Clinic/Center | 7127 Harper Road, Glen Daniel, WV 25844 | 2007-06-21 |
| 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 |
2405 NORTHWESTERN AV STE 200 |
| City | RACINE |
| State | WI |
| Zip Code | 53404-2534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295962652 | Community Health Systems, Inc. | Clinic/Center | 2405 Northwestern Av, Ste 200, Racine, WI 53404-2534 | 2009-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033686001 | Rosamaria E Garcia | Registered Nurse | 1120 Hartman Ct, Racine, WI 53404 | 2018-10-29 |
| 1912372418 | Avada Audiology and Hearing Care | Preferred Provider Organization | 813 Fox Lane Suite B, Waterford, WI 53404 | 2015-12-09 |
| 1215095096 | Bonnie Lee Wirfs | Internal Medicine | 2000 Domanik Drive, Racine, WI 53404 | 2006-12-05 |
| 1992813893 | Craig E Fleury | Dentist | 7117 Green Bay Road, Racine, WI 53404 | 2006-08-29 |
| 1174631089 | Greg L Smart | Dentist | 7117 Green Bay Road, Racine, WI 53404 | 2006-08-29 |
| 1871953950 | Amybeth Mahoney | Counselor | 4726 N Green Bay Rd, Racine, WI 53404-1108 | 2016-03-02 |
| 1649560871 | Abby Healthcare Staffing, LLC | Home Health | 3406 Killips Ln, Racine, WI 53404-1310 | 2011-04-08 |
| 1114071917 | Ib Thostrup | Chiropractor | 2827 Rapids Dr, Racine, WI 53404-1620 | 2007-01-22 |
| 1417001140 | Thostrup Chiropractic, S.c. | Chiropractor | 2827 Rapids Dr, Racine, WI 53404-1620 | 2007-01-22 |
| 1578620423 | Sally Jean Brown | Chiropractor | 2609 Rapids Dr, Racine, WI 53404-1741 | 2007-01-02 |
| Find all providers in zip 53404 | ||||
| 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 |
|---|---|---|---|---|
| 1174071658 | Kenosha Community Health Center, Inc. | Clinic/Center | 2310 Center St, Racine, WI 53403-3330 | 2016-09-14 |
| 1366762825 | Wirt County Health Services Association, Inc | Clinic/Center | 906 Elm St, Racine, OH 45771-8902 | 2010-06-08 |
| 1295962652 | Community Health Systems, Inc. | Clinic/Center | 2405 Northwestern Av, Ste 200, Racine, WI 53404-2534 | 2009-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326693847 | Scenic Bluffs Health Center, Inc | Clinic/Center | 100 Blackhawk Dr, Viroqua, WI 54665-1315 | 2019-08-02 |
| 1942718762 | Sixteenth Street Community Health Centers, Inc. | Clinic/Center | 2607 S 5th St, Milwaukee, WI 53207-1418 | 2018-01-15 |
| 1659884716 | The Lakes Community Health Center, Inc | Clinic/Center | 15954 Rivers Edge Dr Ste 304, Hayward, WI 54843-7800 | 2017-11-13 |
| 1275056632 | Outreach Community Health Centers, Inc. | Clinic/Center | 9120 W Hampton Ave Ste 119, Milwaukee, WI 53225-4960 | 2017-07-18 |
| 1437695038 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 200 West North Street, Norwalk, WI 54648 | 2017-01-06 |
| 1841742673 | The Lakes Community Health Center, Inc | Clinic/Center | 300 Main Street West, Ashland, WI 54806-3696 | 2016-10-27 |
| 1841652021 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 201 E Franklin St Rm B3, Sparta, WI 54656-1803 | 2016-03-25 |
| 1366844003 | Scenic Bluffs Health Center, Inc | Clinic/Center | 201 E Franklin St # B3, Sparta, WI 54656-1803 | 2014-09-25 |
| 1679983423 | The Lakes Community Health Center, Inc | Clinic/Center | 524 Bissell Street, White Lake, WI 54491 | 2014-05-02 |
| 1144593815 | Sixteenth Street Community Health Centers Inc | Clinic/Center | 309 E North St., Waukesha, WI 53188 | 2012-02-10 |
| Find all providers with the same taxonomy | ||||
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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.