COMMUNITY HEALTH SYSTEMS, INC. (NPI# 1457527103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457527103 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH SYSTEMS, INC. |
| Other Organization Name | BELOIT AREA COMMUNITY HEALTH CENTER - DENTAL HEAD START |
| Practice Address |
74 Eclipse Ctr Beloit WI 53511-3550 |
| Mailing Address |
690 3rd St Beloit WI 53511-6214 |
| Practice Telephone | 6083616051 |
| Mailing Telephone | 6083616051 |
| Enumeration Date | 2008-05-02 |
| 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 |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | WI | Dental Providers | |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33812800 | 05 |
| Other Name | Type Code |
|---|---|
| Beloit Area Community Health Center - Dental Head Start | 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 |
| 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 |
| 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 |
74 ECLIPSE CTR |
| City | BELOIT |
| State | WI |
| Zip Code | 53511-3550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215926324 | Galen Carlos Nelson | Physician Assistant | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2005-10-20 |
| 1841815594 | Lindsey Anderson | Social Worker | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2020-06-09 |
| 1639720980 | Tera Staffon | Dental Hygienist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2019-09-26 |
| 1508322199 | Colleen Hogan | Dental Hygienist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2019-02-19 |
| 1326512427 | Elizabeth Green | Dental Hygienist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2019-01-11 |
| 1972076776 | Kimberly Bates | Dental Hygienist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2019-01-04 |
| 1982170973 | Shanleigh Bechard | Counselor | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2018-10-17 |
| 1316443351 | John Tran | Dentist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2018-03-30 |
| 1578069522 | Thad Regenold | Registered Nurse | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2018-03-30 |
| 1588194229 | Katie Wilson | Dentist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2017-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
| 1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
| 1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
| 1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
| 1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
| 1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
| 1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
| 1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
| 1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
| 1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
| Find all providers in zip 53511 | ||||
| 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 |
|---|---|---|---|---|
| 1235436882 | Community Health Systems | Clinic/Center | 74 Eclipse Ctr, Beloit Mall, Beloit, WI 53511-3550 | 2011-02-17 |
| 1174799829 | Beloit Area Community Health Center | Clinic/Center | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2008-05-02 |
| 1750390670 | Community Health Systems, Inc. | Clinic/Center | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2006-08-07 |
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|---|---|---|---|---|
| 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 |
| 1174071658 | Kenosha Community Health Center, Inc. | Clinic/Center | 2310 Center St, Racine, WI 53403-3330 | 2016-09-14 |
| 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 |
| 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.