| NPI | 1043941719 |
|---|---|
| Other Name | BUENA VISTA HIGH SCHOOL BASED HEALTH CENTER |
| Doing Business As | BUENA VISTA HIGH SCHOOL BASED HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | ANDREA SKOLKIN CEO 402-502-8842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-06-22 |