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NPI Code Detail

MEDICARE: COMMUNITY MEDICAL CENTER, INC.

MEDICARE: COMMUNITY MEDICAL CENTER, INC.
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
13416L0300XLand Ambulance5102NE
2282NC0060XCritical Access Hospital660001NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100026OTHERNEBC/BS
2H147OTHERMIDLANDS CHOICE

General Provider Information

NPI Number : 1881643484
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY MEDICAL CENTER, INC.
Provider Business Mailing Address
First Line : PO BOX 399
Second Line :
City : FALLS CITY
State : NE
Zip : 68355-0399
Country : US
Telephone Number : 402-245-2428
Fax Number :
Provider Business Practice Location Address
First Line : 3307 BILL SCHOCK BLVD
Second Line :
City : FALLS CITY
State : NE
Zip : 68355-2428
Country : US
Telephone Number : 402-245-2428
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. RYAN C LARSEN
Credential :
Telephone Number : 402-245-2428
Provider Enumeration Date : 05/09/2006
Last Update Date : 03/25/2025

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Directions to “COMMUNITY MEDICAL CENTER, INC. ” Practice Location

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