Organization
MEMORIAL COMMUNITY HEALTH, INC
Active
Other names
EAST PARK VILLA
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL J FENDT (CFO)
(402) 694-3171
Entity
Organization
Contact information
Practice address
1423 7TH ST, AURORA, NE 68818-1141
(402) 694-3171
(402) 694-5024
Mailing address
1423 7TH ST, AURORA, NE 68818-1141
(402) 694-3171
(402) 694-5024
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
2554
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2805123
NCPDP NUMBER
NE
Enumeration date
02/28/2007
Last updated
03/07/2023
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