Healthcare Provider Details

I. General information

NPI: 1952495939
Provider Name (Legal Business Name): CITIZENS MEDICAL CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 EAST COLLEGE DRIVE
COLBY KS
67701-3799
US

IV. Provider business mailing address

100 EAST COLLEGE DRIVE
COLBY KS
67701-3799
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 Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License NumberH 09701
License Number StateKS

VIII. Authorized Official

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