Organization · Type 2 NPI

Memorial Community Hospital Corporation

Rural Health Clinic/Center · Fort Calhoun, NE

NPI number 1417015207 Active

Practice location

4929 County Road P43
Fort Calhoun, NE 68023-5066

Fax (402) 468-4633

Specialties and licenses

Taxonomy	Code	License
Clinic/Center	261Q00000X	79001 (NE)
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

Another provider at this address

Dana Marie McCabe, PA-CPhysician Assistant Fort Calhoun, NE NPI 1003904293

NPI record

NPI: 1417015207
Entity type: Organization (Type 2)
Issued: Dec 5, 2006
Last updated: Oct 4, 2023
Status: Active
Subpart: Yes of Memorial Community Hospital Corporation

Other names

<unavail>
Fort Calhoun Clinic · doing business as
Fort Calhoun Clinic · doing business as

Authorized official

Amy Zimmer
Cne/vp Patient Care Services
(402) 426-2182

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1417015207

Memorial Community Hospital Corporation's National Provider Identifier is 1417015207, issued on Dec 5, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Fort Calhoun, NE. The record was last updated on Oct 4, 2023.