Healthcare Provider Details

I. General information

NPI: 1265408819
Provider Name (Legal Business Name): MEMORIAL COMMUNITY HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 N 22ND ST
BLAIR NE
68008-1128
US

IV. Provider business mailing address

PO BOX 250
BLAIR NE
68008-1128
US

V. Phone/Fax

Practice location:
  • Phone: 402-426-2182
  • Fax: 406-426-1181
Mailing address:
  • Phone: 402-426-2182
  • Fax: 402-426-1191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QC0050X
TaxonomyCritical Access Hospital Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number790001
License Number StateNE

VIII. Authorized Official

Name: AMY ZIMMER
Title or Position: CNE/VP PATIENT CARE SERVICES
Credential:
Phone: 402-426-2182