Healthcare Provider Details

I. General information

NPI: 1205905320
Provider Name (Legal Business Name): MEMORIAL HEALTH CARE SYSTEMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 11/09/2023
Certification Date: 11/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 S C ST
MILFORD NE
68405-1802
US

IV. Provider business mailing address

250 N COLUMBIA AVE
SEWARD NE
68434-2248
US

V. Phone/Fax

Practice location:
  • Phone: 402-761-3307
  • Fax: 402-761-3493
Mailing address:
  • Phone: 402-643-4800
  • Fax: 402-646-4635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. GREGORY E. JERGER
Title or Position: CFO
Credential:
Phone: 402-646-4628