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General NPI Number Information
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NPI Number | 1184143943
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Entity Type | Organization
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Legal Business Name | COMMUNITY MEDICAL CENTER, INC
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Dates
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Enumeration Date | 09/13/2017
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 3307 BILL SCHOCK BLVD
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City | FALLS CITY
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State | NE
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Zip | 68355-2428
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Country | US
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Telephone | 402-245-2428
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Fax |
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Provider Business Mailing Address
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Address Line | 3307 BILL SCHOCK BLVD
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City | FALLS CITY
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State | NE
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Zip | 68355-2428
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Country | US
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Telephone | 402-245-6502
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | RYAN CHADWICK LARSEN
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Credential |
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Telephone | 402-245-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State | NE
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