Organization
COMMUNITY MEMORIAL HEALTHCARE, INC.
Active
Other names
Community Memorial Healthcare HHA
Organization subpart
No
Provider details
NPI number
Authorized official
THERESE M LANDOLL (ACCOUNTANT)
(785) 562-4384
Entity
Organization
Contact information
Practice address
805 BROADWAY, MARYSVILLE, KS 66508-1802
(785) 562-4062
(785) 629-8131
Mailing address
805 BROADWAY, MARYSVILLE, KS 66508-1802
(785) 562-4062
(785) 629-8131
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000588
BLUE CROSS/BLUE SHIELD KS
KS
05
—
100005390F
—
KS
05
—
100269370A
—
KS
Enumeration date
07/24/2006
Last updated
05/21/2013
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