Organization
COMMUNITY MEMORIAL HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESE M LANDOLL (CFO)
(785) 562-2311
Entity
Organization
Contact information
Practice address
708 N 18TH ST, MARYSVILLE, KS 66508-1338
(785) 562-2311
(785) 562-2348
Mailing address
708 N 18TH ST, MARYSVILLE, KS 66508-1338
(785) 562-2311
(785) 562-2348
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
H058001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000191
BLUE CROSS
KS
05
—
100005390A
—
KS
Enumeration date
02/28/2006
Last updated
03/23/2009
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