| NPI | 1730605601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM RODGERS Interim C.E.O. 402-562-8952 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-08-22 |