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NPI Code Detail

MEDICARE: COMMUNITY MEDICAL CENTER, INC

MEDICARE: COMMUNITY MEDICAL CENTER, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/CenterNE

General Provider Information

NPI Number : 1184143943
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY MEDICAL CENTER, INC
Provider Business Mailing Address
First Line : 3307 BILL SCHOCK BLVD
Second Line :
City : FALLS CITY
State : NE
Zip : 68355-2428
Country : US
Telephone Number : 402-245-6502
Fax Number :
Provider Business Practice Location Address
First Line : 3307 BILL SCHOCK BLVD
Second Line :
City : FALLS CITY
State : NE
Zip : 68355-2428
Country : US
Telephone Number : 402-245-2428
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : RYAN CHADWICK LARSEN
Credential :
Telephone Number : 402-245-6500
Provider Enumeration Date : 09/13/2017
Last Update Date : 03/25/2025

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Directions to “COMMUNITY MEDICAL CENTER, INC ” Practice Location

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