| NPI | 1588002422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD JURGENS CFO 402-223-7224 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2020-05-07 |