Organization
COMMUNITY HEALTHCARE SYSTEM, INC
Active
Other names
St Marys Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TODD WILLERT (CEO)
(785) 889-5002
Entity
Organization
Contact information
Practice address
206 GRAND AVE, ST MARYS, KS 66536-1637
(785) 437-3734
(785) 437-6186
Mailing address
206 GRAND AVE, ST MARYS, KS 66536-1637
(785) 437-3734
(785) 437-6186
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
H075001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001440
BCBS PLAN 65
KS
05
—
100110130B
—
KS
Enumeration date
01/31/2006
Last updated
06/02/2020
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