Organization Name: | COMMUNITY MEDICAL CENTER, INC. |
NPI Number: | 1881643484 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RYAN C LARSEN (CEO) |
Mailing Address: | 3307 Barada St Falls City |
State: | NE US |
Postal Code: | 683552470 |
Phone Number: | 4022452428 |
Fax Number: | |
NPI Enumeration Date: | 05/09/2006 |
NPI Last Update Date: | 04/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 5102 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |