CENTRALIA MEDICAL CLINIC
NPI 1699747279
Clinic/Center - Rural Health in Centralia, KS

Active since February 07, 2006
606 1ST ST, CENTRALIA, KS 66415(785) 857-3334(785) 857-3349 Get Directions Write a Review

NPPES record last updated: June 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2020, Jan 13, 2017 (2 updates tracked since 2017).

About Centralia Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRALIA MEDICAL CLINIC (NPI 1699747279) is a healthcare organization registered as a rural health in Centralia, Kansas and active in the NPI registry since February 2006. The organization lists Todd M Willert, Ceo, as its authorized official.

NPPES Registry Identity

NPI1699747279
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCOMMUNITY HEALTHCARE SYSTEM, INC
Location Address606 1ST STCentralia, KS 66415-9637
Mailing Address606 1st StCentralia, KS 66415-9637 · (785) 857-3334 · Fax (785) 857-3349
Fax(785) 857-3349
Organization SubpartNo
Authorized OfficialTodd M WillertCeo · (785) 889-5002
Enumeration DateFebruary 7, 2006
Last NPPES UpdateJune 2, 20202 updates tracked since enumeration
NPPES CertifiedJune 2, 2020
NPI 1699747279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License Licensed in KS · H075001
606 1ST ST, Centralia, KS 66415

Other Names 1

Doing Business AsCentralia Medical Clinic

Other Identifiers 2

Medicaid100319940AKS
Other001436KS · Blue Cross Blue Shield

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 17D0668702

Centralia Medical Clinic · Centralia, KS
Expired · Aug 1, 2026
CLIA Number17D0668702
Laboratory TypePhysician Office
Certificate Effective DateAugust 2, 2024
Certificate Expiration DateAugust 1, 2026
Laboratory DirectorDanica C. Bato
Laboratory Phone(785) 857-3334
Laboratory LocationCentralia Medical Clinic606 First Street, Centralia, KS 66415
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Family Medicine
606 1ST ST
CENTRALIA, KS 66415
Physician Assistant
606 1ST ST
CENTRALIA, KS 66415

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 Healthcare System, Inc's NPI number?

The NPI number for Community Healthcare System, Inc is 1699747279. It was assigned to this organization in the NPPES registry on February 7, 2006. The provider is doing business as Centralia Medical Clinic.

Where is Community Healthcare System, Inc located?

Community Healthcare System, Inc is located at 606 1st St, Centralia, KS 66415. The listed phone number is (785) 857-3334.

What is Community Healthcare System, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

What insurance does Community Healthcare System, Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Community Healthcare System, 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 Healthcare System, Inc was last updated on June 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.