Healthcare Provider Details

I. General information

NPI: 1457496481
Provider Name (Legal Business Name): COMMUNITY MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 SO. WASHINGTON ST.
OREGON MO
64473
US

IV. Provider business mailing address

2307 BARADA ST PO BOX 399
FALLS CITY NE
68355-1546
US

V. Phone/Fax

Practice location:
  • Phone: 660-446-2090
  • Fax: 660-446-2089
Mailing address:
  • Phone: 402-245-4475
  • Fax: 402-245-6651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: PATTY WINSLOW
Title or Position: CLINIC MANAGER
Credential:
Phone: 402-245-6532