COMMUNITY HEALTHCARE SYSTEM, INC (NPI# 1275504839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275504839 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTHCARE SYSTEM, INC |
| Other Organization Name | ST MARYS CLINIC |
| Practice Address |
206 Grand Ave St Marys KS 66536-1637 |
| Practice Telephone | 7854373734 |
| Practice Fax Number | 7854376186 |
| Mailing Telephone | 7854373734 |
| Mailing Fax Number | 7854376186 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2020-06-02 |
| Authorized Official Name | MS. TODD WILLERT (CEO) |
| Authorized Official Telephone | 7858895002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
H075001 | KS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100110130B | 05 | |
| KS | BCBS PLAN 65 | 001440 | 01 |
| Other Name | Type Code |
|---|---|
| St Marys Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003108440 | Community Healthcare System, Inc | Family Medicine | 6221 5th Street, Corning, KS 66417 | 2011-05-04 |
| 1366407744 | Community Healthcare System, Inc | Home Health | 100 W 8th St, Onaga, KS 66521-9574 | 2006-04-19 |
| 1972578243 | Community Healthcare System, Inc | Assisted Living Facility | 205 W 9th St, Onaga, KS 66521-9625 | 2006-02-21 |
| 1821063249 | Community Healthcare System, Inc | Clinic/Center | 604 1st St, Centralia, KS 66415-9637 | 2006-02-20 |
| 1891766887 | Community Healthcare System, Inc | Clinic/Center | 112 East 2nd, Frankfort, KS 66427-1402 | 2006-01-30 |
| 1457351389 | Community Healthcare System, Inc | Pharmacy | 120 W 8th St, Onaga, KS 66521-9574 | 2005-07-21 |
| 1255635876 | Community Healthcare System, Inc | Family Medicine | 302 Main St, Westmoreland, KS 66549-9684 | 2010-12-23 |
| 1134185119 | Community Healthcare System, Inc | Home Health | 100 W 8th St, Onaga, KS 66521-9574 | 2006-04-26 |
| 1093771776 | Community Healthcare System, Inc | Family Medicine | 120 W 8th St, Onaga, KS 66521-9574 | 2006-04-21 |
| 1811952138 | Community Healthcare System, Inc | Durable Medical Equipment & Medical Supplies | 120 W 8th St, Onaga, KS 66521-9574 | 2006-04-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY HEALTHCARE SYSTEM, INC. | 120 West 8th St, Onaga, KS 66521-9574 |
| Street Address |
206 GRAND AVE |
| City | ST MARYS |
| State | KS |
| Zip Code | 66536-1637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992770861 | Community Healthcare System, Inc Ltcu | Nursing Facility/Intermediate Care Facility | 206 Grand Ave, St Marys, KS 66536-1637 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780224121 | Flinthillsdentalpa | Dentist | 104 S. De Smet Ln., Ste. 6, St Marys, KS 66536 | 2020-01-14 |
| 1487752788 | Kimra S Qualls | Chiropractor | 503 E. Bertrand, St. Marys, KS 66536 | 2006-09-20 |
| 1407954704 | Back To Health Wellness, Inc | Chiropractor | 503 E. Bertrand, St. Marys, KS 66536 | 2006-09-20 |
| 1023282324 | Alternative Healthcare of St Marys, Pa. | Chiropractor | 513 W Bertrand Ave, St. Marys, KS 66536-0236 | 2008-04-17 |
| 1962782680 | J.warren Hildreth, Jr., Dds Pa | Dentist | 310 W Bertrand Ave, Saint Marys, KS 66536-1615 | 2011-08-25 |
| 1659624252 | Kyung Ha Kim | Dentist | 310 W Bertrand Ave, Saint Marys, KS 66536-1615 | 2012-10-19 |
| 1851349237 | Verne Claussen | Optometrist | 525 W Bertrand Ave, St Marys, KS 66536-1618 | 2006-05-05 |
| 1982684411 | David B Jones | Family Medicine | 515 W Bertrand Ave, Saint Marys, KS 66536-1618 | 2006-01-19 |
| 1629252366 | St Marys Family Practice, Pa | Clinic/Center | 515 W Bertrand Ave, Saint Marys, KS 66536-1618 | 2007-12-18 |
| 1790813699 | Dr. Verne E Claussen Jr Pa | Optometrist | 525 W Bertrand Ave, Saint Marys, KS 66536-1618 | 2007-03-01 |
| Find all providers in zip 66536 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1720639644 | Labette County Medical Center | Clinic/Center | 613 Maple Street, Chetopa, KS 67336 | 2019-09-23 |
| 1134774821 | Morris County Hospital | Clinic/Center | 106 W Mackenzie St, White City, KS 66872-9797 | 2019-08-08 |
| 1487192845 | Clay County Medical Center | Clinic/Center | 701 Schurle Way, Riley, KS 66531 | 2017-02-06 |
| 1295284842 | Coffeyville Regional Medical Center, Inc. | Clinic/Center | 122 W Myrtle St Lowr Level, Independence, KS 67301-3317 | 2016-09-23 |
| 1154787190 | Labette County Medical Center | Clinic/Center | 510 Peter Pan Rd Ste B, Independence, KS 67301-7300 | 2016-01-06 |
| 1326416025 | Morton County Hospital | Clinic/Center | 415 Washington, Rolla, KS 67954 | 2015-09-11 |
| 1083043012 | Cah Acquisition Company 2 LLC | Clinic/Center | 1708 Corning Ave, Parsons, KS 67357 | 2013-11-12 |
| 1003152430 | Rural Health Resources of Jackson Co Inc | Clinic/Center | 323 2nd St, Wetmore, KS 66550-9618 | 2012-12-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.