Community Memorial Hospital District

Organization Active NPI Family Medicine Physician · Hickman, NE

NPI 1134097900 · NPPES record last updated Nov 12, 2025

Key facts

NPI
1134097900
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
COMMUNITY MEMORIAL HOSPITAL DISTRICT
Practice address
1201 Park Dr
Hickman, NE 68372-1448
Phone
(402) 204-4103
NPI assigned
Oct 24, 2025
Organization subpart
No

Authorized official

Name
Lisa Marie Voorhees
Title
Ceo
Phone
(402) 269-2011

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 54

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NE

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040313000441 NE Part B Supplier - Clinic/Group Practice 7517856859 Receives reassigned benefits from 53 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hickman, NE; Syracuse, NE; Lincoln, NE

National Provider Directory

Tax ID family
Community Memorial District (10 organizations share this tax ID)

Locations

7350 Willowbrook Ln
Ste 101
Lincoln, NE 68516
Phone (402) 269-2011

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

1201 Park Dr
Hickman, NE 68372-1448

Mailing address

1201 Park Dr
Hickman, NE 68372-1448
Phone (402) 204-4103

Other providers in Hickman, NE

All providers in Hickman, NE · Family Medicine Physician in Nebraska

Sources for this page

Verify at the official NPI Registry.