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General NPI Number Information
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NPI Number | 1548391709
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Entity Type | Organization
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Legal Business Name | MEMORIAL COMMUNITY HOSPITAL CORPORATION
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 810 N. 22ND ST
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City | BLAIR
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State | NE
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Zip | 68008-1128
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Country | US
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Telephone | 402-426-2182
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Fax | 402-426-1191
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Provider Business Mailing Address
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Address Line | 810 N. 22ND ST
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City | BLAIR
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State | NE
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Zip | 68008-1128
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Country | US
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Telephone | 402-426-2182
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Fax | 402-426-1191
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Authorized Official
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Title or Position | CNE/VP PATIENT CARE SERVICES
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Name | AMY ZIMMER
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Credential |
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Telephone | 402-426-2182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | 790001
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License Number State | NE
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