| Organization Name: | COMMUNITY MEMORIAL HEALTHCARE, INC. |
| NPI Number: | 1366477432 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THERESE M LANDOLL (CFO) |
| Mailing Address: | 302 Hillcrest Ln Greenleaf |
| State: | KS US |
| Postal Code: | 669439481 |
| Phone Number: | 7857472270 |
| Fax Number: | 7857472286 |
| NPI Enumeration Date: | 07/11/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |