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Community Memorial Healthcare, Inc.

Organization Active NPI Certified Registered Nurse Anesthetist · Marysville, KS

NPI 1487660809 · NPPES record last updated Aug 26, 2026

Key facts

NPI
1487660809
Entity type
Organization (NPI type 2)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
Legal business name
COMMUNITY MEMORIAL HEALTHCARE, INC.
Practice address
708 N 18TH St
Marysville, KS 66508-1338
Phone
(785) 562-2311
Fax
(785) 562-2348
NPI assigned
Jul 31, 2006
Organization subpart
No

Authorized official

Name
Vicki M Volle
Title
Controller
Phone
(785) 562-4384

Other NPIs on the same Medicare enrollment 5

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

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 10

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040304000181 KS Part B Supplier - Clinic/Group Practice 6608763503 Receives reassigned benefits from 14 practitioners
6 other NPIs on this enrollment
Practice locations: Marysville, KS; Axtell, KS; Blue Rapids, KS

National Provider Directory

Tax ID family
Community Physicians CL (11 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist
Group: 193400000X SINGLE SPECIALTY GROUP		 367500000X Yes

Addresses

Primary practice location

708 N 18TH St
Marysville, KS 66508-1338

Mailing address

708 N 18TH St
Marysville, KS 66508-1338
Phone (785) 562-2311

Other identifiers

IdentifierTypeStateIssuer
012260OtherKSBC/BS KS

Other names

  • Community Memorial Healthcare - CRNA Doing business as

Other providers in Marysville, KS

All providers in Marysville, KS · Certified Registered Nurse Anesthetist in Kansas

Sources for this page

Verify at the official NPI Registry.