Community Healthcare System, Inc
Organization Active NPI Family Medicine Physician · Corning, KS
NPI 1003108440 · NPPES record last updated Aug 4, 2021
Key facts
- NPI
- 1003108440
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- H075001 (KS)
- Legal business name
- COMMUNITY HEALTHCARE SYSTEM, INC
- Practice address
- 6221 5TH Street
Corning, KS 66417 - Phone
- (785) 857-3334
- Fax
- (785) 857-3397
- NPI assigned
- May 4, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Todd M Willert
- Title
- Ceo
- Phone
- (785) 889-5002
Corporate family (same tax ID) 16
National Provider Directory
- Tax ID family
- Community Hospital Ambula
Locations
6221 5th St
Corning, KS 66417
Phone (785) 857-3334
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/5d5c0d2d-0eb7-48af-8536-161bb1a08f58/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | H075001 | KS | Yes |
Addresses
Primary practice location
6221 5TH Street
Corning, KS 66417
Mailing address
6221 5TH Street
Corning, KS 66417
Phone (785) 857-3334
Other names
- Corning Clinic
Other providers in Corning, KS
All providers in Corning, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.