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Organization
COMMUNITY HEALTHCARE SYSTEM, INC
Active
Organization
COMMUNITY HEALTHCARE SYSTEM, INC
Active
Other names
Eastridge
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN FITZTHUM (CEO)
(785) 889-5002
Entity
Organization
Contact information
Practice address
604 1ST ST, CENTRALIA, KS 66415-9637
(785) 857-3388
(785) 857-3349
Mailing address
604 1ST ST, CENTRALIA, KS 66415-9637
(785) 857-3388
(785) 857-3349
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
N066006
KS
314000000X
Skilled Nursing Facility
Primary
N066006
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001247
BLUE CROSS BLUE SHIELD
KS
05
—
100111800A
—
KS
Enumeration date
02/20/2006
Last updated
02/02/2026
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