| NPI | 1417030123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTOPHER S MATHEWS CEO 308-423-2204 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 208600000X Surgery | |
| 363AM0700X Physician Assistant, Medical | |
| 363L00000X Nurse Practitioner | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2023-08-02 |