COMMUNITY HEALTHCARE SYSTEM, INC (NPI# 1699747279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699747279 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTHCARE SYSTEM, INC |
| Other Organization Name | CENTRALIA MEDICAL CLINIC |
| Practice Address |
606 1st St Centralia KS 66415-9637 |
| Practice Telephone | 7858573334 |
| Practice Fax Number | 7858573349 |
| Mailing Telephone | 7858573334 |
| Mailing Fax Number | 7858573349 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2020-06-02 |
| Authorized Official Name | MR. TODD M 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 | 100319940A | 05 | |
| KS | BLUE CROSS BLUE SHIELD | 001436 | 01 |
| Other Name | Type Code |
|---|---|
| Centralia Medical 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 |
| 1275504839 | Community Healthcare System, Inc | Clinic/Center | 206 Grand Ave, St Marys, KS 66536-1637 | 2006-01-31 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY HEALTHCARE SYSTEM, INC. | 120 West 8th St, Onaga, KS 66521-9574 |
| Indiana Business Entities | COMMUNITY HEALTHCARE SYSTEM, INC. | 300 E. 90th Dr., `, Merrillville, IN 46410 |
| Street Address |
606 1ST ST |
| City | CENTRALIA |
| State | KS |
| Zip Code | 66415-9637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225008345 | Amy L Jones | Family Medicine | 606 1st St, Centralia, KS 66415-9637 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295704054 | City of Centralia | Ambulance | 708 Second St, Centralia, KS 66415-0247 | 2006-03-15 |
| 1821063249 | Community Healthcare System, Inc | Clinic/Center | 604 1st St, Centralia, KS 66415-9637 | 2006-02-20 |
| 1366005316 | Kylar G Meyer | Occupational Therapist | 604 1st St, Centralia, KS 66415-9637 | 2019-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427715 | Jerald Rodman | Social Worker | 2565 Kristine Ct, Centralia, WA 98531-8808 | 2020-11-02 |
| 1790385821 | Joshua Bigner | Counselor | 201 S Tower Ave Apt E2, Centralia, WA 98531-4055 | 2020-10-28 |
| 1407463706 | Allison Nichole Kemble | Social Worker | 806 Shawn Ct, Centralia, MO 65240-4320 | 2020-09-30 |
| 1356955249 | Olympia Respiratory Services LLC | Durable Medical Equipment & Medical Supplies | 333 Fair St, Centralia, WA 98531-8906 | 2020-09-08 |
| 1912515917 | N W Pediatric Center, Inc. P.s. | Counselor | 1915 Cooks Hill Rd, Centralia, WA 98531-9073 | 2020-07-16 |
| 1174149447 | Mcp Cooks Hill Wa Opco LLC | Assisted Living Facility | 2010 Cooks Hill Rd, Centralia, WA 98531-8832 | 2020-06-22 |
| 1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
| 1205469103 | Vicki Lee Lucht | Licensed Practical Nurse | 3510 Steelhammer Dr # 3, Centralia, WA 98531-4551 | 2020-02-19 |
| 1881224228 | Tailored Made Hair Replacement Center LLC | Specialist | 201 W Switzler St Ste B, Centralia, MO 65240-1594 | 2020-01-24 |
| 1518505981 | Zachery E Hanke I | Counselor | 2428 W Reynolds Ave Ofc 185, Centralia, WA 98531-4554 | 2019-12-17 |
| Find all providers in CENTRALIA | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780688671 | Physician Services Corporation of Southern Illinois Inc | Clinic/Center | 1441 W Broadway, Centralia, IL 62801-0001 | 2005-06-08 |
| 1154897254 | Heartland Women's Healthcare Ltd | Clinic/Center | 430 N Pleasant Ave, Centralia, IL 62801-3006 | 2018-10-17 |
| 1801199575 | Pope's Kids Place | Clinic/Center | 230 Washington Way, Centralia, WA 98531-9325 | 2010-12-17 |
| 1740421536 | Physician Services Corp of Southern Illinois | Clinic/Center | 430 N Pleasant Ave, Centralia, IL 62801-3006 | 2009-03-09 |
| 1164615316 | Physician Groups, Lc | Clinic/Center | 1021 E Highway 22, Centralia, MO 65240-1183 | 2007-08-21 |
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| 1083229488 | Haskell Regional Hospital, Inc. | Clinic/Center | 429 Maple St, Chetopa, KS 67336-9101 | 2020-09-11 |
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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 |
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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.