| NPI | 1821304825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BARR Business Office Manager 402-457-1200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2017-08-23 |