MEDICARE: COMMUNITY HEALTHCARE SYSTEM, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center	H075001	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	001437	OTHER	KS	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1891766887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY HEALTHCARE SYSTEM, INC

Provider Business Mailing Address
First Line	:	112 EAST 2ND
Second Line	:
City	:	FRANKFORT
State	:	KS
Zip	:	66427-1402
Country	:	US
Telephone Number	:	785-292-4382
Fax Number	:	785-292-4286

Provider Business Practice Location Address
First Line	:	112 EAST 2ND
Second Line	:
City	:	FRANKFORT
State	:	KS
Zip	:	66427-1402
Country	:	US
Telephone Number	:	785-292-4451
Fax Number	:	785-292-4286

Authorized Official
Title or Position	:	CEO
Name	:	MR. TODD M WILLERT
Credential	:
Telephone Number	:	785-889-5002

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	06/02/2020

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Directions to “COMMUNITY HEALTHCARE SYSTEM, INC ” Practice Location

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