Organization
MEMORIAL COMMUNITY HOSPITAL CORPORATION
Active
Parent organization
MEMORIAL COMMUNITY HOSPITAL CORPORATION
Other names
Fort Calhoun Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL COMMUNITY HOSPITAL CORPORATION
Authorized official
AMY ZIMMER (CNE/VP PATIENT CARE SERVICES)
(402) 426-2182
Entity
Organization
Contact information
Practice address
4929 COUNTY ROAD P43, FORT CALHOUN, NE 68023-5066
(402) 468-4655
(402) 468-4633
Mailing address
4929 COUNTY ROAD P43, FORT CALHOUN, NE 68023-5066
(402) 468-4655
(402) 468-4633
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
79001
NE
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07683
BLUE CROSS BLUE SHIELD
NE
Enumeration date
12/05/2006
Last updated
10/04/2023
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