Healthcare Provider Details

I. General information

NPI: 1942120316
Provider Name (Legal Business Name): CITIZENS MEDICAL CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 S FRANKLIN AVE
COLBY KS
67701-3758
US

IV. Provider business mailing address

1525 S FRANKLIN AVE
COLBY KS
67701-3758
US

V. Phone/Fax

Practice location:
  • Phone: 785-462-7511
  • Fax: 785-460-4870
Mailing address:
  • Phone: 785-462-7511
  • Fax: 785-460-4870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: MARCIA T JENNINGS
Title or Position: REVENUE CYCLE MANAGER
Credential:
Phone: 828-260-0476