Organization Name: | COMMUNITY MEMORIAL HEALTHCARE, INC. |
NPI Number: | 1376578096 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THERESE M LANDOLL (CFO) |
Mailing Address: | 102 E Bethell Summerfield |
State: | KS US |
Postal Code: | 66541 |
Phone Number: | 7852446410 |
Fax Number: | 7852446409 |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 04/20/2008 |
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: |