| NPI | 1649548017 |
|---|---|
| Doing Business As | TFHC # 23 - NORTH NEBRASKA |
| Entity Type | Organization |
| Authorized Contact | CHARLES R BOTTOMS President/CEO 813-866-0930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2016-11-17 |