| NPI | 1336625474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANCE KLASEK CFO 402-729-6856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |