COMMUNITY MEMORIAL HEALTHCARE INC NPI 1003682956

NPI Information

NPI: 1003682956
Provider Name: COMMUNITY MEMORIAL HEALTHCARE, INC

Doing Business As: COMMUNITY PHYSICIANS CLINIC-AXTELL

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
302 ELM STREET
AXTELL, KS
ZIP 66403
Phone: (785) 736-2460
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COMMUNITY MEMORIAL HEALTHCARE, INC is a primary care clinic center in Axtell, KS. COMMUNITY MEMORIAL HEALTHCARE, INC NPI is 1003682956. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Physicians Clinic-axtell.

The provider's business location address is:

302 ELM STREET
AXTELL, KS
ZIP 66403
Phone: (785) 736-2460
Fax: (785) 736-2461

The provider's authorized official is Daniel William Fehr .
The authorized official title is Cfo and has the following contact phone number (785) 562-4383.

The CLIA number assigned to this NPI record is 17D2295397 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2023 and was last updated on 1/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			No
2	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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