Basic Information
| Provider Information | |||||||||
| NPI: | 1801560578 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | COMMUNITY MEMORIAL HOSPITAL DISTRICT | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX N | ||||||||
| Address2: | |||||||||
| City: | SYRACUSE | ||||||||
| State: | NE | ||||||||
| PostalCode: | 684460518 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4022692011 | ||||||||
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| Practice Location | |||||||||
| Address1: | 115 S 8TH ST | ||||||||
| Address2: | |||||||||
| City: | NEBRASKA CITY | ||||||||
| State: | NE | ||||||||
| PostalCode: | 684102445 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4024660100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/05/2021 | ||||||||
| LastUpdateDate: | 08/05/2021 | ||||||||
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| AuthorizedOfficialLastName: | HARVEY | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
| AuthorizedOfficialMiddleName: | D | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 4022697620 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 08/05/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332B00000X | Y | Suppliers | Durable Medical Equipment & Medical Supplies |
No ID Information.