| Community Healthcare System, Inc | |
|
120 W 8th St Onaga KS 66521-9574 | |
| (785) 889-4274 | |
| (785) 889-4714 |
| Full Name | Community Healthcare System, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 120 W 8th St, Onaga, 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 120 W 8th St Po Box 460 Onaga KS 66521-9574 Ph: (785) 889-4274 | Community Healthcare System, Inc 120 W 8th St Onaga KS 66521-9574 Ph: (785) 889-4274 |
| NPI Number | 1578528824 |
|---|---|
| Provider Enumeration Date | 04/19/2006 |
| Last Update Date | 06/02/2020 |
| Medicare PECOS PAC ID | 8325031529 |
|---|---|
| Medicare Enrollment ID | O20040405000949 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578528824 | NPI | - | NPPES |
| 100002650B | Medicaid | KS | |
| 014016 | Other | KS | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H075001 (Kansas) | Primary |
| Provider Name | Michele E Reisinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821078353 PECOS PAC ID: 5496740854 Enrollment ID: I20040416000284 |
| Provider Name | Dagoberto Heredia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558395467 PECOS PAC ID: 5698765451 Enrollment ID: I20040513001213 |
| Provider Name | Nancy J Zidek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528048063 PECOS PAC ID: 1951343896 Enrollment ID: I20050601000591 |
| Provider Name | John M Kelley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831192798 PECOS PAC ID: 0749218725 Enrollment ID: I20050801000378 |
| Provider Name | Mary K Cummins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497758239 PECOS PAC ID: 8527081280 Enrollment ID: I20060109000390 |
| Provider Name | Bonnie Ann Mckinsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558337774 PECOS PAC ID: 5597774380 Enrollment ID: I20060515000031 |
| Provider Name | Debra L Rezac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023119765 PECOS PAC ID: 1658379730 Enrollment ID: I20061128000345 |
| Provider Name | John Meriwether |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154469203 PECOS PAC ID: 9234152620 Enrollment ID: I20070416000281 |
| Provider Name | Julia A Ingwerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073792750 PECOS PAC ID: 8729157045 Enrollment ID: I20080513000266 |
| Provider Name | David A Cancelada |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972544583 PECOS PAC ID: 5799851382 Enrollment ID: I20080905000054 |
| Provider Name | Rebecca Simon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134340276 PECOS PAC ID: 8921176686 Enrollment ID: I20081008000038 |
| Provider Name | Chance M Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902809775 PECOS PAC ID: 5597835652 Enrollment ID: I20090811000359 |
| Provider Name | Heather L Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134228786 PECOS PAC ID: 4789722281 Enrollment ID: I20091103000392 |
| Provider Name | David R Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952371163 PECOS PAC ID: 8527192863 Enrollment ID: I20100823000295 |
| Provider Name | Melissa A. Goulart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467422584 PECOS PAC ID: 0345148433 Enrollment ID: I20100924000216 |
| Provider Name | Marcus H Weiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598993065 PECOS PAC ID: 0345420360 Enrollment ID: I20110209000104 |
| Provider Name | Nancy A Bosse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952607558 PECOS PAC ID: 4688855570 Enrollment ID: I20110225000080 |
| Provider Name | Amy L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225008345 PECOS PAC ID: 5799800090 Enrollment ID: I20150508000819 |
| Provider Name | Nicholas William Cahoj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750677217 PECOS PAC ID: 5597917096 Enrollment ID: I20160127000209 |
| Provider Name | Andrew D Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437511383 PECOS PAC ID: 4981995248 Enrollment ID: I20160617000227 |
| Provider Name | Rick L Abbott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144313834 PECOS PAC ID: 3274570296 Enrollment ID: I20160701000350 |
| Provider Name | Daniel J Samani |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689668238 PECOS PAC ID: 8729029038 Enrollment ID: I20160808002368 |
| Provider Name | Merica N Surdez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043668338 PECOS PAC ID: 7719230580 Enrollment ID: I20181024000892 |
| Provider Name | Cassandra J Gaddis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962778803 PECOS PAC ID: 5294123444 Enrollment ID: I20211021000664 |
| Provider Name | Amanda L Rempe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104433507 PECOS PAC ID: 2567848435 Enrollment ID: I20220929001735 |
| Provider Name | Karl James Haake |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1003801747 PECOS PAC ID: 3274506050 Enrollment ID: I20230510000802 |
| Provider Name | Collin R Connor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144894734 PECOS PAC ID: 6800290594 Enrollment ID: I20240731001934 |
| Provider Name | Benjamin Harstine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649852997 PECOS PAC ID: 7911383393 Enrollment ID: I20240819002284 |
| Provider Name | Kimberly Euler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639743743 PECOS PAC ID: 3375925266 Enrollment ID: I20240911004002 |
| Provider Name | Julia Mueting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629741343 PECOS PAC ID: 8527587260 Enrollment ID: I20250527000308 |
Community Healthcare System, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 W 8th St, Onaga, KS 66521 Phone: 785-889-4274 Fax: 785-889-4749 | |
Community Healthcare System, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 114 W 8th St, Onaga, KS 66521 Phone: 785-889-4241 Fax: 785-889-4749 |