NPI | 1528770955 |
---|---|
Doing Business As | MIDTOWN PLAZA |
Entity Type | Organization |
Authorized Contact | MELODEE J DRENKOW Quality Management Director 402-370-1064 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-12-16 |
Last Update Date | 2022-12-16 |