Organization Active NPI

Community Healthcare System, Inc

  • Family Medicine Physician
  • Onaga, KS
National Provider Identifier
1093771776
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H075001 Issued in KS
Legal business name
COMMUNITY HEALTHCARE SYSTEM, INC
Practice address
120 W 8TH St
Onaga, KS 66521-9574
Phone
(785) 889-4274
Fax
(785) 889-4749
NPI assigned
Apr 21, 2006
Last updated
Jun 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. John Fitzthum
Title
Ceo
Phone
(785) 889-5106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H075001 KS Primary

Addresses

Primary practice location

120 W 8TH St
Onaga, KS 66521-9574

Mailing address

120 W 8TH St
PO Box 460
Onaga, KS 66521-9574
Phone (785) 889-4274

Other identifiers 4

IdentifierTypeStateIssuer
100002650CMedicaidKS
110428OtherKSBLUE SHIELD
30003924720002MedicaidKS
CG3859OtherKSMEDICARE RAILROAD

Other names 1

  • Community Rural Health Clinics Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040405000949 KS Part B Supplier - Clinic/Group Practice 8325031529 Receives reassigned benefits from 37 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Marysville, KS; Onaga, KS

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 36

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1093771776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 8TH ST",
            "address_2": "PO BOX 460",
            "city": "ONAGA",
            "state": "KS",
            "postal_code": "665219574",
            "telephone_number": "785-889-4274",
            "fax_number": "785-889-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 8TH ST",
            "city": "ONAGA",
            "state": "KS",
            "postal_code": "665219574",
            "telephone_number": "785-889-4274",
            "fax_number": "785-889-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTHCARE SYSTEM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "FITZTHUM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-889-5106",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "H075001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002650C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "110428",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003924720002",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CG3859",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Rural Health Clinics",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Community Rural Health Clinics",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Onaga, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.