Healthcare Provider Details

I. General information

NPI: 1386678431
Provider Name (Legal Business Name): CITIZENS MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
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 TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License NumberH097001
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberH097001
License Number StateKS

VIII. Authorized Official

Name: DAVID MCCORKLE
Title or Position: CEO/PRESIDENT
Credential:
Phone: 785-462-7511