Provider Demographics
NPI:1992770861
Name:COMMUNITY HEALTHCARE SYSTEM, INC
Entity type:Organization
Organization Name:COMMUNITY HEALTHCARE SYSTEM, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-889-5002
Mailing Address - Street 1:206 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:ST MARYS
Mailing Address - State:KS
Mailing Address - Zip Code:66536-1637
Mailing Address - Country:US
Mailing Address - Phone:785-437-2286
Mailing Address - Fax:785-437-6830
Practice Address - Street 1:206 GRAND AVE
Practice Address - Street 2:
Practice Address - City:ST MARYS
Practice Address - State:KS
Practice Address - Zip Code:66536-1637
Practice Address - Country:US
Practice Address - Phone:785-437-2286
Practice Address - Fax:785-437-6830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100110130AMedicaid
KS30003924720008Medicaid