| NPI | 1821283896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN A MCKEEVER Clinic Manager 402-228-3545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 16679) |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2013-09-03 |