Organization
COMMUNITY MEDICAL CENTER, INC
Active
Other names
Humboldt Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN C LARSEN (CEO)
(402) 245-2428
Entity
Organization
Contact information
Practice address
1120 GRAND AVE, HUMBOLDT, NE 68376-6019
(402) 862-3280
(402) 862-3284
Mailing address
PO BOX 399, FALLS CITY, NE 68355-0399
(402) 245-4475
(402) 245-6651
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/28/2006
Last updated
08/22/2020
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