Community Memorial Healthcare, Inc
Organization Active NPI Primary Care Clinic/Center · Axtell, KS
NPI 1003682956 · NPPES record last updated Aug 26, 2026
Key facts
- NPI
- 1003682956
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- COMMUNITY MEMORIAL HEALTHCARE, INC
- Practice address
- 302 Elm Street
Axtell, KS 66403 - Phone
- (785) 736-2460
- Fax
- (785) 736-2461
- NPI assigned
- Dec 1, 2023
- Organization subpart
- No
Authorized official
- Name
- Vicki M Volle
- Title
- Controller
- Phone
- (785) 562-4384
Other NPIs on the same Medicare enrollment 5
Corporate family (same tax ID) 10
Practitioners 21
-
Andrea Blumer, APRN
-
Ben M Bruna, M.D.
-
John A Haefele, M.D.
-
Rebecca Ann Heuer, A.P.R.N.
-
Jacob M Nagely, M.D.
-
Cheryl A Rice, M.D.
-
Dayna K Scheele, ARNP
-
Cheryl E Shanks, ARNP
-
Michael J Stech, CRNA
-
Shane E. Thoreson, M.D.
-
David L Samani, M.D.
-
Jason A Hampl, M.D.
-
Theodore L Kitowski, M.D.
-
Abigail L Kidwell, ARNP
-
Kirk Martin, PAC
-
Becky Marlene Saathoff, P.A.
-
Michelle A Stone, D.O.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D2295397 | Community Physicians Clinic - Axtell | Certificate of waiver | Dec 10, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040304000181 | KS | Part B Supplier - Clinic/Group Practice | 6608763503 |
Receives reassigned benefits from 14 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Marysville, KS; Axtell, KS; Blue Rapids, KS |
National Provider Directory
- Tax ID family
- Community Physicians CL
Locations
502 Elm St
Axtell, KS 66403
Phone (785) 736-2460
800 N Locust St
Frankfort, KS 66427
Phone (785) 292-4443
910 Broadway
Marysville, KS 66508
Phone (785) 562-4062
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/cmhinc-a449abfd
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes | ||
| Rural Health Clinic/Center | 261QR1300X |
Addresses
Primary practice location
302 Elm Street
Axtell, KS 66403
Mailing address
708 N 18TH St
Marysville, KS 66508-1338
Phone (785) 562-3942
Other names
- Community Physicians Clinic-Axtell
Other providers in Axtell, KS
All providers in Axtell, KS · Primary Care Clinic/Center 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 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.