Organization
COMMUNITY MEMORIAL HEALTHCARE, INC.
Active
Other names
Community Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
THERESE M LANDOLL (CFO)
(785) 562-2311
Entity
Organization
Contact information
Practice address
805 BROADWAY, MARYSVILLE, KS 66508-1802
(785) 562-2858
(785) 562-2850
Mailing address
805 BROADWAY, MARYSVILLE, KS 66508-1802
(785) 562-2858
(785) 562-2850
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100005390L
—
KS
01
—
10201
BLUE CROSS/BLUE SHIELD KS
KS
Enumeration date
07/27/2006
Last updated
05/26/2009
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