Provider Demographics
NPI:1447962493
Name:CITIZENS MEDICAL CENTER INC
Entity type:Organization
Organization Name:CITIZENS MEDICAL CENTER INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL STAFF COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:JACEE
Authorized Official - Middle Name:LINELLE
Authorized Official - Last Name:WEETER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-460-1713
Mailing Address - Street 1:460 N FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:COLBY
Mailing Address - State:KS
Mailing Address - Zip Code:67701-2326
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:460 N FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:COLBY
Practice Address - State:KS
Practice Address - Zip Code:67701-2326
Practice Address - Country:US
Practice Address - Phone:785-460-7507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITIZENS MEDICAL CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-12-21
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy