Organization Name: | MEMORIAL COMMUNITY HOSPITAL CORPORATION |
NPI Number: | 1013982776 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SALLY J OLSON (OPERATIONS DIRECTOR) |
Mailing Address: | 718 N 21st St Blair |
State: | NE US |
Postal Code: | 680081122 |
Phone Number: | 4024261274 |
Fax Number: | 4024261260 |
NPI Enumeration Date: | 02/17/2006 |
NPI Last Update Date: | 07/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | HOSPICE 2 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |