| 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 |