Community Hospital South – General Acute Care Hospital, NPI 1235109778

Community Hospital South is a healthcare provider. based in Chicago, Illinois. specializing in General Acute Care Hospital. The organization holds a License No. 005109 (IN). The NPI Number for Community Hospital South is 1235109778

Main info

Organization
Name
Community Hospital South
NPI
1235109778
Phone
(317) 355-1411
Address
6233 RELIABLE PKWY
Authorized Official
MRS. HOLLY MILLARD SVP FINANCE
Enumeration Date
26 January 2006
Last Update Date
23 February 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Community Hospital South

  • A-Reliable Glass & Door Corp., 4128, West Belmont Avenue, Hermosa, Chicago, Jefferson Township, Cook County, Illinois, 60641, United States

    CHICAGO, IL 606860062

    Phone: (317) 355-1411

    Fax: (317) 351-7862

    Type: Mailing

  • East County Line Road South, Indianapolis, Marion County, Indiana, 46237, United States

    INDIANAPOLIS, IN 462279611

    Phone: (317) 887-7000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-10-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20101015000770OHospitalINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60686)

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Reviews

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Frequently asked questions

Is there an official ID for Community Hospital South in U.S. healthcare records?
The official identifier for Community Hospital South is NPI 1235109778.
Active or inactive — what applies to Community Hospital South?
You should see Community Hospital South as active in CMS-hosted NPPES data.
What expertise is attributed to Community Hospital South?
Community Hospital South's specialty line reads General Acute Care Hospital. Clinical services aligned with this taxonomy classification.
Where in Illinois is Community Hospital South registered?
Use Chicago, Illinois as the headline location for Community Hospital South here.
Does Community Hospital South accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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