NPIMap

Organization Active NPI

Community Healthcare System, Inc

Doing business as Eastridge

  • Skilled Nursing Facility
  • Centralia, KS
National Provider Identifier
1821063249
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N066006 Issued in KS
Legal business name
COMMUNITY HEALTHCARE SYSTEM, INC
Doing business as
Eastridge
Practice address
604 1St St
Centralia, KS 66415-9637
Phone
(785) 857-3388
Fax
(785) 857-3349
NPI assigned
Feb 20, 2006
Last updated
Feb 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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) 889-5002

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X N066006 KS
Skilled Nursing Facility 314000000X N066006 KS Primary

Addresses

Primary practice location

604 1St St
Centralia, KS 66415-9637

Mailing address

604 1St St
Centralia, KS 66415-9637
Phone (785) 857-3388

Other names 1

  • Eastridge Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040528000783 KS Part A Provider - Skilled Nursing Facility 8325031529 Practice locations: Centralia, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821063249. Details of each certification follow.

Skilled nursing facility certification: CCN 175374

Legal name
COMMUNITY HEALTHCARE SYSTEM INC
Doing business as
EASTRIDGE NURSING FACILITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 30, 1996
Last certification
Nov 8, 2023
Beds
39 (28 certified)
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Community Healthcare System
Organization structure
CorporationNon-profit
Enrollment address
604 1St St
Centralia, KS 66415-9637
Nursing home name
EASTRIDGE

Other NPIs with the same Medicare PAC ID 10

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
EastridgeCCN 175374 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jun 30, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2818.5 residents per day on average
Penalties (3 years)
1Fines totaling $12,798

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0648227Eastridge604 First Street, Centralia, KS 66415Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Rural Health Clinic17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

604 1st St
Centralia, KS 66415
Phone (785) 857-3388

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Lorraine Meyer Individual Corporate OfficerCoo May 17, 2017
W-2 Managing EmployeeCoo May 17, 2017

Practitioners & affiliated clinicians

Practitioners 1

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 1

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": "1140393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1821063249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 1ST ST",
            "city": "CENTRALIA",
            "state": "KS",
            "postal_code": "664159637",
            "telephone_number": "785-857-3388",
            "fax_number": "785-857-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 1ST ST",
            "city": "CENTRALIA",
            "state": "KS",
            "postal_code": "664159637",
            "telephone_number": "785-857-3388",
            "fax_number": "785-857-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTHCARE SYSTEM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-20",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "FITZTHUM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-889-5002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "KS",
            "license": "N066006",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N066006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastridge",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eastridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centralia, KS

Sources for this page

Verify at the official NPI Registry.