Centralia Medical Clinic

LBN: Community Healthcare System, Inc
Centralia Medical Clinic is an health care organization with primary practice located at 606 1St St , Centralia KS 66415-9637. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Community Healthcare System, Inc can be contacted via phone (785) 857-3334, or through Willert, Todd M via phone (785) 889-5002.

Contact Information

Primary practice address
606 1St St Centralia KS 66415-9637
Phone: (785) 857-3334
Fax: (785) 857-3349
Website:
Map and Directions
Authorized official contact:
Name: Willert, Todd M
Phone: (785) 889-5002

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X H075001 Kansas

Profile Details

NPI number 1699747279
LBN Legal business name Community Healthcare System, Inc
DBA Doing business as Centralia Medical Clinic
Authorized official Willert, Todd M
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2006
Last updated Jun 2nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699747279 NPPES
Kansas Other 001436 BLUE CROSS BLUE SHIELD
Kansas MEDICAID 100319940A BLUE CROSS BLUE SHIELD

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