| NPI | 1003909789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA J. MIDDLE Administrator 308-635-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NE ASC039) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |