Healthcare Provider Details

I. General information

NPI: 1952487589
Provider Name (Legal Business Name): MEMORIAL COMMUNITY HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 10/04/2023
Certification Date: 10/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3519 HIGHWAY 32
TEKAMAH NE
68061-5095
US

IV. Provider business mailing address

3519 HIGHWAY 32
TEKAMAH NE
68061-5095
US

V. Phone/Fax

Practice location:
  • Phone: 402-374-1585
  • Fax: 402-374-1612
Mailing address:
  • Phone: 402-374-1585
  • Fax: 402-374-1612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number79001
License Number StateNE

VIII. Authorized Official

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