NPI | 1558720326 |
---|---|
Doing Business As | BLUESTEM HEALTH 360 |
Entity Type | Organization |
Authorized Contact | BRAD LEE MEYER CEO 402-470-5424 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
207Q00000X Family Medicine | |
Enumeration Date | 2016-02-22 |
Last Update Date | 2021-09-22 |