| Community Memorial Healthcare, Inc. | |
|
607 Lincoln St Blue Rapids KS 66411-1419 | |
| (785) 363-7202 | |
| (785) 363-7630 |
| Full Name | Community Memorial Healthcare, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 607 Lincoln St, Blue Rapids, Kansas |
| Authorized Official Name and Position | Therese M Landoll (CFO) |
| Authorized Official Contact | 7855622311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Memorial Healthcare, Inc. 607 Lincoln St Blue Rapids KS 66411-1419 Ph: (785) 363-7202 | Community Memorial Healthcare, Inc. 607 Lincoln St Blue Rapids KS 66411-1419 Ph: (785) 363-7202 |
| NPI Number | 1386678530 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 10/29/2007 |
| Medicare PECOS PAC ID | 6608763503 |
|---|---|
| Medicare Enrollment ID | O20050204000207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386678530 | NPI | - | NPPES |
| 016888 | Other | KS | BLUE CROSS/BLUE SHIELD KS |
| CB2663 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |