NPIMap

Organization Active NPI

Community Memorial Healthcare, Inc.

  • Critical Access Hospital
  • Marysville, KS
National Provider Identifier
1902872997
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
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
Oct 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Authorized official

Name
Tom Hood
Title
Interim Ceo
Phone
(785) 562-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

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
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902872997. Details of each certification follow.

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
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).

Other NPIs on the same Medicare enrollment 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Community Memorial Healthcare, Inc.CCN 171363 · All quality measures
Overall star rating
4 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

708 N 18th St
#122390
Marysville, KS 66508

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 DirectorBoard Member Oct 1, 2023
Sandra Keller Individual Corporate DirectorBoard Member Oct 1, 2023
Kevin O'Neil Individual Corporate DirectorBoard Member Oct 1, 2023
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 30.08%
Gary Holle Individual Corporate DirectorBoard Member Oct 1, 2023
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 DirectorBoard Member Oct 1, 2023
Edward Popejoy Individual Corporate DirectorVice Board Chairman May 17, 2017
Barbara Kickhaefer Individual Corporate Director Jan 15, 2025
West Town Bank and Trust Organization, North Riverside, IL Financial institution 5% Or Greater Mortgage Interest Dec 19, 2018 20.88%
Erin Wright Individual Corporate DirectorBoard Member Oct 1, 2023
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 16

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.

View all 16

Affiliated clinicians 85

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

View all 85

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": "1791936000000",
    "number": "1902872997",
    "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": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "HOOD",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "785-562-2311"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KS",
            "license": "H058001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, KS

Sources for this page

Verify at the official NPI Registry.