Healthcare Provider Details

I. General information

NPI: 1881643484
Provider Name (Legal Business Name): COMMUNITY MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3307 BILL SCHOCK BLVD
FALLS CITY NE
68355-2428
US

IV. Provider business mailing address

PO BOX 399
FALLS CITY NE
68355-0399
US

V. Phone/Fax

Practice location:
  • Phone: 402-245-2428
  • Fax:
Mailing address:
  • Phone: 402-245-2428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number5102
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number660001
License Number StateNE

VIII. Authorized Official

Name: MR. RYAN C LARSEN
Title or Position: CEO
Credential:
Phone: 402-245-2428