| NPI | 1205831237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ROWLAND CEO 402-837-5381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NE 1522) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NE 1522) |
| 333600000X Pharmacy (Licence: NE 1522) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2020-09-15 |