Community Healthcare System, Inc
Organization Active NPI Skilled Nursing Facility · Centralia, KS
NPI 1821063249 · NPPES record last updated Feb 2, 2026
Key facts
- NPI
- 1821063249
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- N066006 (KS)
- Legal business name
- COMMUNITY HEALTHCARE SYSTEM, INC
- Practice address
- 604 1St St
Centralia, KS 66415-9637 - Phone
- (785) 857-3388
- Fax
- (785) 857-3349
- NPI assigned
- Feb 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. John Fitzthum
- Title
- Ceo
- Phone
- (785) 889-5002
Other NPIs with the same Medicare PAC ID 10
Corporate family (same tax ID) 16
Practitioners 31
-
Marcus Weiser, DO
-
David R Allen, M.D.
-
Andrew D Barnes, APRN
-
Emma Beck, MD
-
Nancy Ann Bosse, ARNP
-
Nicholas W Cahoj, MD
-
David Adrian Cancelada, M.D.
-
Annie Jean Crumbaker, PA-C
-
Mary Kay Cummins, ARNP
-
Marcy L Evans, PA
-
Cassandra J Gaddis, LSCSW
-
Melissa A Goulart, D.O.
-
Julia Ingwerson, A.R.N.P.
-
Amy L Jones, A.R.N.P.
-
Jana D Kramer, RPA-C
-
Bonnie Ann McKinsey, ARNP
-
Heather L Myers, ARNP
-
Michele E Reisinger, ARNP-C
-
Debra L Rezac, ARNP
-
Merica Surdez, APRN
Affiliated clinicians 1
Medicare Care Compare: Nursing home
- Listed as
- Eastridge
- 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
- Active
- Certified beds
- 28 · 18.5 residents per day on average
- Penalties (3 years)
- 1 · fines totaling $12,798
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D0648227 | Eastridge | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
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
- Corporation · Non-profit
- Enrollment address
- 604 1St St
Centralia, KS 66415-9637 - Nursing home name
- EASTRIDGE
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Lorraine Meyer |
Corporate Officer |
May 17, 2017 | |
| W-2 Managing Employee |
May 17, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040528000783 | KS | Part a Provider - Skilled Nursing Facility | 8325031529 | Practice locations: Centralia, KS |
National Provider Directory
- Tax ID family
- Community Hospital Ambula
Locations
604 1st St
Centralia, KS 66415
Phone (785) 857-3388
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | N066006 | KS | |
| Skilled Nursing Facility | 314000000X | N066006 | KS | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001247 | Other | KS | BLUE CROSS BLUE SHIELD |
| 100111800A | Medicaid | KS |
Other names
- Eastridge
Other providers in Centralia, KS
- Claire Blumer
- City of Centralia
- Community Healthcare System, Inc
- Amy L Jones
- Maegan Koch
- Kylar G Meyer
All providers in Centralia, KS · Skilled Nursing Facility in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.