NPIMap

Organization Active NPI

Memorial Community Health, Inc

Doing business as East Park Villa

  • Institutional Pharmacy
  • Aurora, NE
National Provider Identifier
1932236593
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
2554 Issued in NE
Legal business name
MEMORIAL COMMUNITY HEALTH, INC
Doing business as
East Park Villa
Practice address
1423 7TH St
Aurora, NE 68818-1141
Phone
(402) 694-3171
Fax
(402) 694-5024
NPI assigned
Feb 28, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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
Institutional Pharmacy 3336I0012X 2554 NE Primary

Addresses

Primary practice location

1423 7TH St
Aurora, NE 68818-1141

Mailing address

1423 7TH St
Aurora, NE 68818-1141
Phone (402) 694-3171

Other identifiers 1

IdentifierTypeStateIssuer
2805123OtherNENCPDP NUMBER

Other names 1

  • EAST PARK VILLA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Memorial Helath Clinic6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1932236593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 7TH ST",
            "city": "AURORA",
            "state": "NE",
            "postal_code": "688181141",
            "telephone_number": "402-694-3171",
            "fax_number": "402-694-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 7TH ST",
            "city": "AURORA",
            "state": "NE",
            "postal_code": "688181141",
            "telephone_number": "402-694-3171",
            "fax_number": "402-694-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL COMMUNITY HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2023-03-07",
        "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": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "NE",
            "license": "2554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "2805123",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAST PARK VILLA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.