Healthcare Provider Details
I. General information
NPI: 1699392019
Provider Name (Legal Business Name): COMMUNITY MEMORIAL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/01/2020
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7121 STEPHANIE LN STE 100
LINCOLN NE
68516-5359
US
IV. Provider business mailing address
PO BOX N
SYRACUSE NE
68446-0518
US
V. Phone/Fax
- Phone: 402-466-0100
- Fax: 402-466-0458
- Phone: 402-269-2011
- Fax: 402-269-2795
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LISA
MARIE
VOORHEES
Title or Position: CEO
Credential:
Phone: 402-269-2011