MARYSVILLE CLINIC
NPI 1124049937
Clinic/Center - Rural Health in Marysville, KS
About Marysville Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARYSVILLE CLINIC (NPI 1124049937) is a healthcare organization registered as a rural health in Marysville, Kansas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 28, 2028 and lists Therese M Landoll, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marysville Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Marysville Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 10 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (13)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 17D2267620
Marysville Clinic · Marysville, KSFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Community Memorial Healthcare, Inc.'s NPI number?
The NPI number for Community Memorial Healthcare, Inc. is 1124049937. It was assigned to this organization in the NPPES registry on July 21, 2006. The provider is doing business as Marysville Clinic.
Where is Community Memorial Healthcare, Inc. located?
Community Memorial Healthcare, Inc. is located at 808 N 19th St, Marysville, KS 66508. The listed phone number is (785) 562-2303.
What is Community Memorial Healthcare, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Community Memorial Healthcare, Inc. enrolled in Medicare?
Yes. Community Memorial Healthcare, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Community Memorial Healthcare, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 5 Medicare specialties reassign their Medicare billing to Community Memorial Healthcare, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (5), Nurse Practitioner (5) and Certified Registered Nurse Anesthetist (CRNA) (1). Of these, 3 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Community Memorial Healthcare, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 17D2267620) is associated with this NPI, valid through August 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Community Memorial Healthcare, Inc. accept?
Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Community Memorial Healthcare, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Community Memorial Healthcare, Inc. was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Marysville Clinic · NPI 1124049937
Rural Health organization in Marysville, Kansas. Organization record, active in the CMS NPPES registry since July 21, 2006.
## Identity
- **NPI:** 1124049937 (Entity type: Organization)
- **Enumerated:** July 21, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Community Memorial Healthcare, Inc.
- **Organization subpart:** Yes (part of Community Memorial Healthcare, Inc)
- **Authorized official:** Therese Landoll, CFO
## Practice location
- **Address:** 808 N 19TH ST, Marysville, KS 66508-1358
- **Phone:** (785) 562-2303 · **Fax:** (785) 562-2034
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (5), Nurse Practitioner (5), Certified Registered Nurse Anesthetist (CRNA) (1); 3 practice at this address and 10 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 20, 2008
- **Other identifiers:** Other CD1965; Medicaid =========11 (NE); Medicaid =========23 (NE); and 3 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124049937) · Data from the CMS NPPES public registry.