| Community Healthcare System, Inc | |
|
606 1st St Centralia KS 66415-9637 | |
| (785) 857-3334 | |
| (785) 857-3349 |
| Full Name | Community Healthcare System, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 606 1st St, Centralia, Kansas |
| Authorized Official Name and Position | Todd M Willert (CEO) |
| Authorized Official Contact | 7858895002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Healthcare System, Inc 606 1st St Centralia KS 66415-9637 Ph: (785) 857-3334 | Community Healthcare System, Inc 606 1st St Centralia KS 66415-9637 Ph: (785) 857-3334 |
| NPI Number | 1699747279 |
|---|---|
| Provider Enumeration Date | 02/07/2006 |
| Last Update Date | 06/02/2020 |
| Medicare PECOS PAC ID | 8325031529 |
|---|---|
| Medicare Enrollment ID | O20040601000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699747279 | NPI | - | NPPES |
| 001436 | Other | KS | BLUE CROSS BLUE SHIELD |
| 100319940A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | H075001 (Kansas) | Primary |