Community Memorial Healthcare, Inc.
Organization Active NPI Critical Access Hospital · Marysville, KS
NPI 1902872997 · NPPES record last updated Aug 26, 2026
Key facts
- NPI
- 1902872997
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- H058001 (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
- Organization subpart
- No
Authorized official
- Name
- Vicki M Volle
- Title
- Controller
- Phone
- (785) 562-4384
Owners & managing parties with NPI records 2
-
Jacob M Nagely, M.D.
-
Kurt Robert Olson, O.D.
Other NPIs on the same Medicare enrollment 5
Other NPIs with the same Medicare PAC ID 6
Related certifications (CCN) 3
Practitioners 20
-
Andrea Blumer, APRN
-
Anne C Bruna, ARNP
-
Ben M Bruna, M.D.
-
John A Haefele, M.D.
-
Rebecca Ann Heuer, A.P.R.N.
-
Jacob M Nagely, M.D.
-
Cheryl A Rice, M.D.
-
Dayna K Scheele, ARNP
-
Cheryl E Shanks, ARNP
-
Michael J Stech, CRNA
-
Shane E. Thoreson, M.D.
-
Michele K Voelker, ARNP
-
David L Samani, M.D.
-
Linda Marie Bott, ARNP
-
Levi Lear, PA-C
-
Thuy Nguyen, APRN
-
Chance Williams, M.D.
Affiliated clinicians 85
-
Brynn Arnold, MD
-
William Bartkoski, D.O.
-
Danielle Nicole Bedore, PA-C
-
Fadi V Bedros, M.D.
-
Andrea Blumer, APRN
-
Linda Marie Bott, ARNP
-
Ryan David Brantley, P.A
-
Anne C Bruna, ARNP
-
Ben M Bruna, M.D.
-
Peter Arthur Burgos, M.D.
-
Adam J Chase, M.D.
-
Annie Jean Crumbaker, PA-C
-
Matthew Jaye Gish, M.D.
-
Patricia L Gutowski, DNP, FNP, APRN-C
-
John A Haefele, M.D.
-
Taylor Lynne Havenstein, MSN,APRN,FNP-BC
-
Rebecca Ann Heuer, A.P.R.N.
-
David K Hodgson, M.D.
-
Casey B Jankord, PA-C
-
Ryan C Knopp, M.D.
Medicare Care Compare: Hospital
- Listed as
- Community Memorial Healthcare, Inc.
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS
Hospital certification: CCN 171363
- Legal name
- COMMUNITY MEMORIAL HEALTHCARE INC
- Doing business as
- COMMUNITY MEMORIAL HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Oct 1, 2003
- Last certification
- Jul 8, 2016
- Beds
- 25
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 708 N 18TH St
Marysville, KS 66508-1338
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Jeff Crist |
Corporate Director |
Oct 1, 2023 | |
| Sandra Keller |
Corporate Director |
Oct 1, 2023 | |
| Kevin O'Neil |
Corporate Director |
Oct 1, 2023 | |
| Thomas R Hood |
Corporate Officer |
Jan 22, 2026 | |
| W-2 Managing Employee |
Jan 22, 2026 | ||
| Melisa Treff |
Corporate Director | Jan 15, 2025 | |
| Usda Department of Agriculture Rural Development |
5% Or Greater Mortgage Interest | Dec 19, 2018 | 30.08% |
| Gary Holle |
Corporate Director |
Oct 1, 2023 | |
| Jacob M Nagely |
W-2 Managing Employee |
Jan 15, 2025 | |
| Randall J Brown |
Corporate Director | Jan 15, 2025 | |
| Lora Beikmann |
Corporate Director |
Oct 1, 2023 | |
| Edward Popejoy |
Corporate Director |
May 17, 2017 | |
| Barbara Kickhaefer |
Corporate Director | Jan 15, 2025 | |
| West Town Bank and Trust |
5% Or Greater Mortgage Interest | Dec 19, 2018 | 20.88% |
| Erin Wright |
Corporate Director |
Oct 1, 2023 | |
| Daniel Fehr |
Corporate Officer |
Oct 1, 2023 | |
| W-2 Managing Employee |
Oct 1, 2023 | ||
| Kurt Robert Olson |
Corporate Director | Jan 15, 2025 | |
| Austin Schotte |
Corporate Director | Jan 15, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040304000181 | KS | Part B Supplier - Clinic/Group Practice | 6608763503 |
Receives reassigned benefits from 14 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Marysville, KS; Axtell, KS; Blue Rapids, KS |
| O20061104000331 | KS | Part a Provider - Critical Access Hospital | 6608763503 |
Receives reassigned benefits from 15 practitioners Practice locations: Marysville, KS |
National Provider Directory
Locations
302 Elm St
Axtell, KS 66403
Phone (785) 736-2460
708 N 18th St
#122390
Marysville, KS 66508
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | H058001 | KS | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000191 | Other | KS | BLUE CROSS |
| 100005390A | Medicaid | KS |
Other providers in Marysville, KS
- Community Memorial Healthcare, Inc.
- Community Memorial Healthcare, Inc.
- Community Memorial Healthcare, Inc.
- Community Memorial Healthcare, Inc.
- Community Memorial Healthcare, Inc.
- County of Marshall
- Shelly Marie Crome
- David L Hamel DDS, PA
- Fernando De la Torre Ugarte
- Austin Dean Diederich
All providers in Marysville, KS · Critical Access Hospital in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 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.