Eastridge

LBN: Community Healthcare System, Inc
Eastridge is an health care organization with primary practice located at 604 1St St , Centralia KS 66415-9637. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Day Care, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Community Healthcare System, Inc can be contacted via phone (785) 857-3388, or through Willert, Todd M via phone (785) 889-5002.

Contact Information

Primary practice address
604 1St St Centralia KS 66415-9637
Phone: (785) 857-3388
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 / Adult Day Care 261QA0600X N066006 Kansas
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X N066006 Kansas

Profile Details

NPI number 1821063249
LBN Legal business name Community Healthcare System, Inc
DBA Doing business as Eastridge
Authorized official Willert, Todd M
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2006
Last updated Jun 2nd, 2020 - about 4 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 1821063249 NPPES
Kansas Other 001247 BLUE CROSS BLUE SHIELD
Kansas MEDICAID 100111800A BLUE CROSS BLUE SHIELD

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