| NPI | 1093105496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC TRUSTY Practice Administrator 402-223-6761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: NE 1077) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-01-23 |