Healthcare Provider Details
I. General information
NPI: 1497764559
Provider Name (Legal Business Name): COMMUNITY MEMORIAL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/07/2006
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2731 HEALTHCARE DR
SYRACUSE NE
68446-7880
US
IV. Provider business mailing address
PO BOX N
SYRACUSE NE
68446-0518
US
V. Phone/Fax
- Phone: 402-269-2011
- Fax: 402-269-7621
- Phone: 402-269-2011
- Fax: 402-269-7621
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 282NC0060X |
| Taxonomy | Critical Access Hospital |
| License Number | 580002 |
| License Number State | NE |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 275N00000X |
| Taxonomy | Medicare Defined Swing Bed Hospital Unit |
| License Number | 580002 |
| License Number State | NE |
VIII. Authorized Official
Name:
LISA
MARIE
VOORHEES
Title or Position: CEO
Credential:
Phone: 402-269-2011