NPIMap

Organization Active NPI

Community Memorial Healthcare, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Marysville, KS
National Provider Identifier
1659348589
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
H058001 Issued in KS
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
Feb 28, 2006
Last updated
Aug 26, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY MEMORIAL HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X H058001 KS Primary

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 2

IdentifierTypeStateIssuer
001152OtherKSBLUE CROSS
100005390AMedicaidKS

Other names 1

  • Community Memorial Healthcare Swing Bed Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061222000218 KS Part A Provider - Critical Access Hospital 6608763503 Practice locations: Marysville, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659348589. Details of each certification follow.

Hospital certification: CCN 17Z363

Legal name
COMMUNITY MEMORIAL HEALTHCARE INC
Doing business as
COMMUNITY MEMORIAL HEALTHCARE
Organization structure
CorporationNon-profit
Enrollment address
708 N 18TH St
Marysville, KS 66508-1338
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory
Tax ID family
Community Memorial HLTH Inc11 organizations share this tax ID, including this one
Part of
Community Memorial HLTH Inc

Other organizations with this tax ID 10

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

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jeff Crist Individual Corporate OfficerVice-Chairperson May 1, 2023
Corporate DirectorDirector May 1, 2019
West Town Bank and Trust Organization, North Riverside, IL Financial institution 5% Or Greater Mortgage Interest Dec 19, 2018 22%
Sandra Keller Individual Corporate DirectorDirector May 1, 2022
Kevin O'Neil Individual Corporate DirectorDirector May 1, 2022
Thomas R Hood Individual Corporate OfficerInterim Ceo Jan 22, 2026
W-2 Managing EmployeeInterim Ceo Jan 22, 2026
Melisa Treff Individual Corporate Director Jan 15, 2025
Usda Department of Agriculture Rural Development Organization, Topeka, KS 5% Or Greater Mortgage Interest Dec 19, 2018 32%
Gary Holle Individual Corporate DirectorDirector May 1, 2019
Jacob M Nagely Individual W-2 Managing EmployeeChief of Medical Staff Jan 15, 2025
Randall J Brown Individual Corporate Director Jan 15, 2025
Lora Beikmann Individual Corporate DirectorDirector May 1, 2021
Edward Popejoy Individual Corporate OfficerChairperson May 1, 2023
Corporate DirectorDirector May 17, 2017
Barbara Kickhaefer Individual Corporate Director Jan 15, 2025
Erin Wright Individual Corporate DirectorDirector May 1, 2018
Daniel Fehr Individual Corporate OfficerCfo Oct 1, 2023
W-2 Managing EmployeeCfo Oct 1, 2023
Kurt Robert Olson Individual Corporate Director Jan 15, 2025
Austin Schotte Individual Corporate Director Jan 15, 2025

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 3

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.

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1659348589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 N 18TH ST",
            "city": "MARYSVILLE",
            "state": "KS",
            "postal_code": "665081338",
            "telephone_number": "785-562-2311",
            "fax_number": "785-562-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 N 18TH ST",
            "city": "MARYSVILLE",
            "state": "KS",
            "postal_code": "665081338",
            "telephone_number": "785-562-2311",
            "fax_number": "785-562-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEMORIAL HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY MEMORIAL HEALTHCARE, INC.",
        "enumeration_date": "2006-02-28",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "VOLLE",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "785-562-4384"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "KS",
            "license": "H058001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "001152",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100005390A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Memorial Healthcare Swing Bed",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marysville, KS

Sources for this page

Verify at the official NPI Registry.