NPI | 1437261211 |
---|---|
Entity Type | Organization |
Authorized Contact | BETSY VIDLAK C.E.O. 308-635-3089 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2006-08-31 |
Last Update Date | 2024-06-21 |