| Community Healthcare System, Inc | |
|
1603 W 4th St Holton KS 66436-1153 | |
| (785) 364-3205 | |
| (785) 364-3468 |
| Full Name | Community Healthcare System, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1603 W 4th St, Holton, 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 1603 W 4th St Holton KS 66436-1153 Ph: (785) 364-3205 | Community Healthcare System, Inc 1603 W 4th St Holton KS 66436-1153 Ph: (785) 364-3205 |
| NPI Number | 1720059389 |
|---|---|
| Provider Enumeration Date | 01/31/2006 |
| Last Update Date | 06/02/2020 |
| Medicare PECOS PAC ID | 8325031529 |
|---|---|
| Medicare Enrollment ID | O20040528000062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720059389 | NPI | - | NPPES |
| 100319930A | Medicaid | KS | |
| 001438 | Other | KS | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | H075001 (Kansas) | Primary |
Rural Health Resources Of Jackson Co Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 E 4th St, Holton, KS 66436 Phone: 785-364-2126 Fax: 785-364-2126 | |
Rural Health Resources Of Jackson Co Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1110 Columbine Dr Ste 100, Holton, KS 66436 Phone: 785-364-2126 Fax: 785-364-2801 |