| NPI | 1619425121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY NORDBY Chief Executive Director 402-370-1060 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2020-07-09 |