COMMUNITY MEMORIAL HEALTHCARE INC. NPI 1295749067

NPI Information

NPI: 1295749067
Provider Name: COMMUNITY MEMORIAL HEALTHCARE, INC.
Classification: Clinic/Center - 261QR1300X
Specialization: Rural Health
Entity Type: Organization
Doing Business As: COMMUNITY PHYSICIANS CLINIC
CLIA Number: 17D0449950
Address: 1902 MAY ST
MARYSVILLE, KS
ZIP 66508
Phone: (785) 562-3942

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NPI Details

COMMUNITY MEMORIAL HEALTHCARE, INC. is a rural health clinic center in Marysville, KS. COMMUNITY MEMORIAL HEALTHCARE, INC. NPI is 1295749067. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Physicians Clinic.

The provider's business location address is:

1902 MAY ST
MARYSVILLE, KS
ZIP 66508-200
Phone: (785) 562-3942
Fax: (785) 562-5149

The provider's authorized official is Therese M Landoll .
The authorized official title is Cfo and has the following contact phone number (785) 562-2311.

The CLIA number assigned to this NPI record is 17D0449950 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 10/26/2007.

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	261QP2300X	Clinic/Center	Primary Care			No
2	261QR1300X	Clinic/Center	Rural Health			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	016863	OTHER	KANSAS	BLUE CROSS/BLUE SHIELD KS
2	CE9160	OTHER	KANSAS	RAILROAD MEDICARE
3	17-3404	MEDICARE OSCAR/CERTIFICATION	KANSAS
4	10005390G	MEDICAID	KANSAS
5	016863	MEDICARE ID-TYPE UNSPECIFIED	KANSAS	PART B

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: 3/30/2025

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