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NPI Code Detail

MEDICARE: COMMUNITY MEMORIAL HOSPITAL DISTRICT

MEDICARE: COMMUNITY MEMORIAL HOSPITAL DISTRICT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282NC0060XCritical Access Hospital580002NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1183OTHERNEBCBS OF NEBRASKA
28971OTHERNEBCBS OF NEBRASKA
35000023OTHERNEUNITED HEALTHCARE

General Provider Information

NPI Number : 1013925924
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY MEMORIAL HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : PO BOX N
Second Line :
City : SYRACUSE
State : NE
Zip : 68446-0518
Country : US
Telephone Number : 402-269-2011
Fax Number : 402-269-7621
Provider Business Practice Location Address
First Line : 2731 HEALTHCARE DR
Second Line :
City : SYRACUSE
State : NE
Zip : 68446-7880
Country : US
Telephone Number : 402-269-2011
Fax Number : 402-269-7621
Authorized Official
Title or Position : CEO
Name : LISA MARIE VOORHEES
Credential :
Telephone Number : 402-269-2011
Provider Enumeration Date : 08/04/2006
Last Update Date : 11/12/2025

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Directions to “COMMUNITY MEMORIAL HOSPITAL DISTRICT ” Practice Location

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