NPI | 1760025191 |
---|---|
Doing Business As | AMH FAMILY PRACTICE BCBS PCMH |
Entity Type | Organization |
Authorized Contact | DIANE M. BRUGGER Administrator 402-887-4151 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
Additional Taxonomies | 207Q00000X Family Medicine |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2019-10-17 |
Last Update Date | 2022-11-18 |