Organization Active NPI

Community Memorial Hospital District

Doing business as Syracuse Area Health

  • Community/Retail Pharmacy
  • Weeping Water, NE
National Provider Identifier
1730756255
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
COMMUNITY MEMORIAL HOSPITAL DISTRICT
Doing business as
Syracuse Area Health
Practice address
7512 Highway 50
Weeping Water, NE 68463-1812
Phone
(402) 258-2311
NPI assigned
Jun 4, 2021
Last updated
Jun 8, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY MEMORIAL HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Michael D Harvey
Title
Ceo
Phone
(402) 269-7620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

7512 Highway 50
Weeping Water, NE 68463-1812

Mailing address

PO Box N
Syracuse, NE 68446-0518
Phone (402) 269-2011

Other names 1

  • Syracuse Area Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220112001818 NE DME Supplier - Pharmacy 7517856859 Practice locations: Weeping Water, NE

Other NPIs with the same Medicare PAC ID 5

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Syracuse Area Health7512 Highway 50, Weeping Water, NE 68463-1812(402) 258-2311 Immunosuppressive Drugs|Nebulizer Drugs Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Community Memorial Hospital District10 organizations share this tax ID, including this one
Part of
Community Memorial Hospital District

Other organizations with this tax ID 9

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

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Syracuse Area HealthSyracuse, NE, CCN 281309 Hospital Operational/Managerial Control Aug 1, 2019
Syracuse Area HealthSyracuse, NE, CCN 28Z309 Hospital Operational/Managerial Control Aug 1, 2019
Syracuse Area HealthSyracuse, NE, CCN 283470 Rural health clinic Operational/Managerial Control Apr 1, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1730756255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX N",
            "city": "SYRACUSE",
            "state": "NE",
            "postal_code": "684460518",
            "telephone_number": "402-269-2011",
            "fax_number": "402-269-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7512 HIGHWAY 50",
            "city": "WEEPING WATER",
            "state": "NE",
            "postal_code": "684631812",
            "telephone_number": "402-258-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEMORIAL HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY MEMORIAL HOSPITAL DISTRICT",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-269-7620"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Syracuse Area Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Syracuse Area Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weeping Water, NE

Sources for this page

Verify at the official NPI Registry.