# COMMUNITY MEDICAL CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194767285
- **Authorized official:** RYAN CHADWICK LARSEN (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (402) 245-6500

## Contact information

- **Practice address:** 3307 BILL SCHOCK BLVD, FALLS CITY, NE 68355-2428
- **Practice address phone:** (402) 245-4475
- **Practice address fax:** (402) 245-6651
- **Mailing address:** PO BOX 399, FALLS CITY, NE 68355-0399
- **Mailing address phone:** (402) 245-4475
- **Mailing address fax:** (402) 245-6651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/12/2006
- **Last updated:** 03/25/2025