Provider Demographics
NPI:1588191589
Name:WARREN MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:WARREN MEMORIAL HOSPITAL
Other - Org Name:ZIMMER MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:MHSA
Authorized Official - Phone:402-947-2541
Mailing Address - Street 1:905 2ND ST
Mailing Address - Street 2:
Mailing Address - City:FRIEND
Mailing Address - State:NE
Mailing Address - Zip Code:68359-1133
Mailing Address - Country:US
Mailing Address - Phone:402-947-2541
Mailing Address - Fax:402-947-2811
Practice Address - Street 1:905 2ND ST
Practice Address - Street 2:
Practice Address - City:FRIEND
Practice Address - State:NE
Practice Address - Zip Code:68359-1133
Practice Address - Country:US
Practice Address - Phone:402-947-2541
Practice Address - Fax:402-947-2811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health