NPIMap

Organization Active NPI

Community Medical Center, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Falls City, NE
National Provider Identifier
1669429635
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
66001 Issued in NE
Legal business name
COMMUNITY MEDICAL CENTER, INC.
Practice address
3307 Bill Schock Blvd
Falls City, NE 68355-2428
Phone
(402) 245-2428
Fax
(402) 245-6645
NPI assigned
May 27, 2006
Last updated
Mar 25, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY MEDICAL CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Mr. Ryan C Larsen
Title
Ceo
Phone
(402) 245-2428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 66001 NE Primary

Addresses

Primary practice location

3307 Bill Schock Blvd
Falls City, NE 68355-2428

Mailing address

3307 Bill Schock Blvd
Falls City, NE 68355-2428
Phone (402) 245-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071108000581 NE Part A Provider - Critical Access Hospital 6608776943 Practice locations: Falls City, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669429635. Details of each certification follow.

Hospital certification: CCN 28Z352

Legal name
COMMUNITY MEDICAL CENTER INC
Doing business as
COMMUNITY MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Jun 15, 1955 in NE
Enrollment address
3307 Bill Schock Blvd
Falls City, NE 68355-2428
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Community Medical Ctr I2 organizations share this tax ID, including this one
Part of
Community Medical Ctr I

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Susan Johnson Individual Corporate Director Oct 5, 2023
Stephen Severin Individual Corporate Director Oct 1, 2015
Ryan Larsen Individual Corporate OfficerChief Executive Officer Sep 6, 2005
W-2 Managing Employee Sep 6, 2005
Barbara Howard Individual Corporate Director Oct 3, 2019
Nicole Mason Individual Corporate Director Oct 6, 2016
Vicki L Bangert Individual Corporate Director Oct 7, 2021
Trent Scheitel Individual Corporate Director Oct 3, 2019
Debra Lewis Individual Corporate Director Oct 5, 2023
Adam Morris Individual Corporate Director Feb 3, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1669429635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 BILL SCHOCK BLVD",
            "city": "FALLS CITY",
            "state": "NE",
            "postal_code": "683552428",
            "telephone_number": "402-245-6500",
            "fax_number": "402-245-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 BILL SCHOCK BLVD",
            "city": "FALLS CITY",
            "state": "NE",
            "postal_code": "683552428",
            "telephone_number": "402-245-2428",
            "fax_number": "402-245-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY MEDICAL CENTER, INC",
        "enumeration_date": "2006-05-27",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-245-2428",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NE",
            "license": "66001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls City, NE

Sources for this page

Verify at the official NPI Registry.