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General NPI Number Information
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NPI Number | 1013087089
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Entity Type | Organization
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Legal Business Name | MEMORIAL HEALTH CARE SYSTEMS
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 01/21/2021
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Provider Practice Location Address
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Address Line | 300 N COLUMBIA AVE
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City | SEWARD
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State | NE
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Zip | 68434-2299
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Country | US
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Telephone | 402-643-2971
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Fax | 402-646-4605
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Provider Business Mailing Address
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Address Line | 300 N COLUMBIA AVE
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City | SEWARD
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State | NE
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Zip | 68434-2299
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Country | US
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Telephone | 402-646-4628
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Fax | 402-646-4605
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Authorized Official
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Title or Position | CFO
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Name | MR. GREGORY E. JERGER
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Credential |
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Telephone | 402-646-4628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 720001
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 720001
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License Number State | NE
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