COMMUNITY HEALTHCARE SYSTEM, INC (NPI# 1720059389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720059389 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTHCARE SYSTEM, INC |
| Other Organization Name | HOLTON FAMILY HEALTH CLINIC |
| Practice Address |
1603 W 4th St Holton KS 66436-1153 |
| Practice Telephone | 7853643205 |
| Practice Fax Number | 7853643468 |
| Mailing Telephone | 7853643205 |
| Mailing Fax Number | 7853643468 |
| Enumeration Date | 2006-01-31 |
| 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 | 100319930A | 05 | |
| KS | BLUE CROSS BLUE SHIELD | 001438 | 01 |
| Other Name | Type Code |
|---|---|
| Holton Family Health 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 |
1603 W 4TH ST |
| City | HOLTON |
| State | KS |
| Zip Code | 66436-1153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528048063 | Nancy J Zidek | Family Medicine | 1603 W 4th St, Holton, KS 66436-1153 | 2006-01-19 |
| 1477009561 | Nicole Huey | Nurse Practitioner | 1603 W 4th St, Holton, KS 66436-1153 | 2016-08-29 |
| 1861730509 | Cornelia Carolina Campbell | Nurse Practitioner | 1603 W 4th St, Holton, KS 66436-1153 | 2013-01-30 |
| 1134228786 | Heather L Myers | Nurse Practitioner | 1603 W 4th St, Holton, KS 66436-1153 | 2006-09-21 |
| 1952371163 | David R Allen | Family Medicine | 1603 W 4th St, Holton, KS 66436-1153 | 2006-01-23 |
| 1619947744 | Jana D Kramer | Family Medicine | 1603 W 4th St, Holton, KS 66436 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528180734 | William E. Kinkade IIi | Physician Assistant | 1100 Columbine Drive, Holton, KS 66436 | 2007-04-06 |
| 1669573424 | Jerry E Young | Dentist | 208 West 4th Street, Holton, KS 66436 | 2006-09-26 |
| 1710943634 | Ladona Marie Schmidt | Family Medicine | 1110 Columbine Drive, Holton, KS 66436 | 2006-04-21 |
| 1669917688 | Deanna Lynn Goff | Nurse Practitioner | 1110 Columbine Drive, Holton, KS 66436 | 2016-12-29 |
| 1316384332 | Dallas W Dooley | Registered Nurse | 1100 Columbine Dr, Holton, KS 66436 | 2013-05-31 |
| 1114362050 | Erin R. Locke | Family Medicine | 1100 Columbine Drive, Tacoma Family Medicine, Holton, KS 66436 | 2013-05-06 |
| 1336487412 | Jill S Collins | Nurse Practitioner | 1110 Columbine Drive, Holton, KS 66436 | 2013-01-23 |
| 1578664330 | Jerry E. Young, D.d.s., P.a. | Dentist | 208 West 4th Street, Holton, KS 66436 | 2006-09-26 |
| 1164442687 | Holton Usd 336 Holton Special Education Cooperative | Local Education Agency (LEA) | 515 Pennsylvania Ave, Holton, KS 66436 | 2006-07-20 |
| 1962923938 | Ryan Smalley | Psychologist | 713 Idaho Ave, Holton, KS 66436-1103 | 2017-06-29 |
| Find all providers in zip 66436 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639145204 | Rural Health Resources of Jackson Co Inc | Clinic/Center | 1100 Columbine Dr, Holton, KS 66436-8824 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083229488 | Haskell Regional Hospital, Inc. | Clinic/Center | 429 Maple St, Chetopa, KS 67336-9101 | 2020-09-11 |
| 1720609738 | Meade Hospital District | Clinic/Center | 304 N Aztec St, Montezuma, KS 67867-8874 | 2020-04-30 |
| 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.