MARYSVILLE CLINIC
NPI 1124049937
Clinic/Center - Rural Health in Marysville, KS

Active since July 21, 2006CLIA 17D2267620 · Waiver
808 N 19TH ST, MARYSVILLE, KS 66508(785) 562-2303(785) 562-2034 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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, 2026 and lists Therese M Landoll, Cfo, as its authorized official.

NPPES Registry Identity

NPI1124049937
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCOMMUNITY MEMORIAL HEALTHCARE, INC.
Location Address808 N 19TH STMarysville, KS 66508-1358
Mailing Address808 N 19th StMarysville, KS 66508-1358 · (785) 562-2303 · Fax (785) 562-2034
Fax(785) 562-2034
Organization SubpartYesParent: Community Memorial Healthcare, Inc
Authorized OfficialTherese M LandollCfo · (785) 562-2311
Enumeration DateJuly 21, 2006
Last NPPES UpdateApril 20, 2008
NPI 1124049937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
808 N 19TH ST, Marysville, KS 66508

Other Names 1

Doing Business AsMarysville Clinic

Other Identifiers 6

OtherCD1965Railroad Medicare
Medicaid=========11NE
Medicaid=========23NE
Other110007KS · Blue Cross/blue Shield Ks
Medicare OSCAR/certification17-3417KS
Medicare ID-Type Unspecified110007KS · Part B

Accepted Insurance

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, KS
Active · expires Aug 28, 2026
CLIA Number17D2267620
Laboratory TypePhysician Office
Certificate Effective DateAugust 29, 2024
Certificate Expiration DateAugust 28, 2026
Laboratory DirectorDanica C. Bato
Laboratory Phone(785) 619-6078
Laboratory LocationMarysville Clinic107 S 8th St, Marysville, KS 66508
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
808 N 19TH ST
MARYSVILLE, KS 66508

Frequently 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.

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, 2026. 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.