NPIMap

Organization Active NPI

Memorial Community Health Inc

Doing business as Memorial Health Clinic Harvard (RHC)

  • Rural Health Clinic/Center
  • Harvard, NE
National Provider Identifier
1326750449
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MEMORIAL COMMUNITY HEALTH INC
Doing business as
Memorial Health Clinic Harvard (RHC)
Practice address
203 E Walnut St
Harvard, NE 68944-3031
Phone
(402) 772-5330
Fax
(402) 772-5331
NPI assigned
Dec 20, 2022
Last updated
Dec 20, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MEMORIAL COMMUNITY HEALTH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Phil J Fendt
Title
Cfo
Phone
(402) 694-3171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

203 E Walnut St
Harvard, NE 68944-3031

Mailing address

609 O St
Aurora, NE 68818-1104
Phone (402) 694-3191

Other identifiers 1

IdentifierTypeStateIssuer
10026538301MedicaidNE

Other names 1

  • MEMORIAL HEALTH CLINIC HARVARD (RHC) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Memorial Community Care6 organizations share this tax ID, including this one
Part of
Memorial Community Care

Other organizations with this tax ID 5

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

Locations

609 O St
Aurora, NE 68818
Phone (402) 694-3191

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1326750449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 O ST",
            "city": "AURORA",
            "state": "NE",
            "postal_code": "688181104",
            "telephone_number": "402-694-3191",
            "fax_number": "402-694-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E WALNUT ST",
            "city": "HARVARD",
            "state": "NE",
            "postal_code": "689443031",
            "telephone_number": "402-772-5330",
            "fax_number": "402-772-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL COMMUNITY HEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEMORIAL COMMUNITY HEALTH INC",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "FENDT",
        "authorized_official_first_name": "PHIL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "402-694-3171"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026538301",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEMORIAL HEALTH CLINIC HARVARD (RHC)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harvard, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.