| NPI | 1487245551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KITTI NIENHUESER Credentialing COO Rdinator 402-362-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2024-04-29 |