| Community Memorial Healthcare, Inc. | |
|
1902 May St Marysville KS 66508-1200 | |
| (785) 562-3942 | |
| (785) 562-5149 |
| Full Name | Community Memorial Healthcare, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1902 May St, Marysville, 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. 1902 May St Marysville KS 66508-1200 Ph: (785) 562-3942 | Community Memorial Healthcare, Inc. 1902 May St Marysville KS 66508-1200 Ph: (785) 562-3942 |
| NPI Number | 1295749067 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 10/26/2007 |
| Medicare PECOS PAC ID | 6608763503 |
|---|---|
| Medicare Enrollment ID | O20050207000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295749067 | NPI | - | NPPES |
| CE9160 | Other | KS | RAILROAD MEDICARE |
| 10005390G | Medicaid | KS | |
| 016863 | Other | KS | BLUE CROSS/BLUE SHIELD KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Community Memorial Healthcare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 N 19th St, Marysville, KS 66508 Phone: 785-562-2303 Fax: 785-562-2034 | |
Community Memorial Healthcare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 708 N 18th St, Marysville, KS 66508 Phone: 785-562-3600 Fax: 785-562-3124 | |
Community Memorial Healthcare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 708 N 18th St, Marysville, KS 66508 Phone: 785-562-2311 Fax: 785-562-2348 |