NPI | 1073861456 |
---|---|
Doing Business As | AINSWORTH FAMILY CLINIC |
Entity Type | Organization |
Authorized Contact | MIRYA HALLOCK CEO 402-387-2800 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 207Q00000X Family Medicine |
363L00000X Nurse Practitioner | |
Enumeration Date | 2012-08-16 |
Last Update Date | 2022-08-15 |