Provider Demographics
NPI:1083326193
Name:MEMORIAL COMMUNITY HEALTH INC
Entity Type:Organization
Organization Name:MEMORIAL COMMUNITY HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:PHIL
Authorized Official - Middle Name:J
Authorized Official - Last Name:FENDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-694-3171
Mailing Address - Street 1:609 O ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:NE
Mailing Address - Zip Code:68818-1104
Mailing Address - Country:US
Mailing Address - Phone:402-694-3191
Mailing Address - Fax:402-694-2146
Practice Address - Street 1:609 O ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:NE
Practice Address - Zip Code:68818-1104
Practice Address - Country:US
Practice Address - Phone:402-694-3191
Practice Address - Fax:402-694-2146
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEMORIAL COMMUNITY HEALTH INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-12-20
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health