| NPI | 1366962706 |
|---|---|
| Other Name | BANNER HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY GULLINGSRUD CEO 308-284-7264 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2023-04-20 |