COMMUNITY HEALTHCARE SYSTEM INC NPI 1275504839

NPI Information

NPI: 1275504839
Provider Name: COMMUNITY HEALTHCARE SYSTEM, INC

Doing Business As: ST MARYS CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
206 GRAND AVE
ST MARYS, KS
ZIP 66536
Phone: (785) 437-3734
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COMMUNITY HEALTHCARE SYSTEM, INC is a rural health clinic center in St Marys, KS. COMMUNITY HEALTHCARE SYSTEM, INC NPI is 1275504839. The provider is registered as an organization entity type.
The provider Is Doing Business As St Marys Clinic.

The provider's business location address is:

206 GRAND AVE
ST MARYS, KS
ZIP 66536-637
Phone: (785) 437-3734
Fax: (785) 437-6186

The provider's authorized official is Todd Willert .
The authorized official title is Ceo and has the following contact phone number (785) 889-5002.

The CLIA number assigned to this NPI record is 17D0933726 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/31/2006 and was last updated on 6/2/2020.

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	H075001	KANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100110130B	MEDICAID	KANSAS
2	001440	OTHER	KANSAS	BCBS PLAN 65

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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