COMMUNITY HEALTH SYSTEMS INC (NPI# 1982756086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982756086 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH SYSTEMS INC |
| Other Organization Name | FALLBROOK FAMILY HEALTH CENTER |
| Practice Address |
1328 S Mission Rd Fallbrook CA 92028-4006 |
| Mailing Address |
22675 Alessandro Blvd Moreno Valley CA 92553-8551 |
| Practice Telephone | 7604514720 |
| Practice Fax Number | 7604514700 |
| Mailing Telephone | 9515712300 |
| Mailing Fax Number | 9515712330 |
| Enumeration Date | 2007-01-17 |
| 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 | 207V00000X | Obstetrics & Gynecology | LM235 | CA | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A115342 | CA | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A114857 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A102033 | CA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | A63365 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | C53673 | CA | Allopathic & Osteopathic Physicians |
| N | 1223G0001X |
Dentist Specialization: General Practice |
52428 | CA | Dental Providers |
| N | 152W00000X | Optometrist | OPT5169TPA | CA | Eye and Vision Services Providers |
| N | 207Q00000X | Family Medicine | A78623 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | A90249 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 7619 | CA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | C36017 | CA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 1846 | CA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 350902 | CA | Allopathic & Osteopathic Physicians |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
080000150 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HAP70275G | 05 | |
| CA | 4998231 | 05 | |
| CA | BCDEP | BCP70275G | 01 |
| CA | EAP70324F | 05 | |
| CA | MEDICARE | CK277B | 01 |
| Other Name | Type Code |
|---|---|
| Fallbrook Family Health Center | 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 |
| 1669524534 | Community Health Systems Inc | Dentist | 1744 University Ave, Riverside, CA 92507-5364 | 2007-01-18 |
| Street Address |
1328 S MISSION RD |
| City | FALLBROOK |
| State | CA |
| Zip Code | 92028-4006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164081006 | Rachel Houshian | Nurse Practitioner | 1328 S Mission Rd, Fallbrook, CA 92028-4006 | 2019-06-12 |
| 1295241438 | Elliott Alcala | Social Worker | 1328 S Mission Rd, Fallbrook, CA 92028-4006 | 2017-12-26 |
| 1194234609 | Anna Magee | Social Worker | 1328 S Mission Rd, Fallbrook, CA 92028 | 2017-09-27 |
| 1770002990 | Ganiat A Gbadebo | Nurse Practitioner | 1328 S Mission Rd, Fallbrook, CA 92028-4006 | 2017-09-19 |
| 1538512546 | Jane Putnam | Social Worker | 1328 S Mission Rd, Fallbrook, CA 92028-4006 | 2016-07-14 |
| 1104292705 | Martine Burdett Rodgers | Nurse Practitioner | 1328 S Mission Rd, Fallbrook, CA 92028-4006 | 2015-08-18 |
| 1336572676 | Sarah Papalia | Family Medicine | 1328 S Mission Rd, Fallbrook, CA 92028-4006 | 2013-08-09 |
| 1427393941 | Goran Cvijanovic | Internal Medicine | 1328 S Mission Rd, Fallbrook, CA 92028-4006 | 2012-12-10 |
| 1508148370 | Wendy Vu | Pediatrics | 1328 S Mission Rd, Fallbrook, CA 92028-4006 | 2011-09-16 |
| 1306078522 | John D Nguyen | Obstetrics & Gynecology | 1328 S Mission Rd, Fallbrook, CA 92028-4006 | 2009-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396235727 | Mmr Dme | Durable Medical Equipment & Medical Supplies | 1116 S Main Ave, Fallbrook, CA 92028 | 2018-05-10 |
| 1245616119 | Brett Christian Wootton | General Acute Care Hospital | 325 Potter Street, Fallbrook, CA 92028 | 2015-08-03 |
| 1215375852 | Ashley Stein Araiza | Dentist | 304 N Orange Ave, Fallbrook, CA 92028 | 2013-06-05 |
| 1063794253 | Elizabeth Ann Nestor | Developmental Therapist | 4164 Lake Circle Dr, Fallbrook, CA 92028 | 2011-09-13 |
| 1639460173 | Narciso Hernandez | Case Manager/Care Coordinator | 120 W Hawthone, Fallbrook, CA 92028 | 2011-05-02 |
| 1699961755 | Susana Bowen | Registered Nurse | 628 East Elder, Fallbrook Hospital, Fallbrook, CA 92028 | 2007-09-21 |
| 1912190869 | Helena Holmes Morrison | Social Worker | 2068a E. Mission Rd., Fallbrook, CA 92028 | 2007-08-23 |
| 1831311059 | Eric J Ramos, A Proffesional Corp | Optometrist | 645 E. Elder St. Ste D, Fallbrook, CA 92028 | 2007-05-03 |
| 1578617551 | Gregory Dean Montague | Dentist | 304 East Mission Road, Suite C, Fallbrook, CA 92028 | 2007-01-23 |
| 1629120944 | Michele H Germain | Social Worker | 577 E Elder, Suite F, Fallbrook, CA 92028 | 2007-01-17 |
| Find all providers in zip 92028 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1083221451 | Harmony Health Medical Clinic and Family Resource Center | Clinic/Center | 1930 N. Beale Road, Marysville, CA 95901-6915 | 2020-09-29 |
| 1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
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| 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.