| NPI | 1881269827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE J GRANT Revenue Cycle Coordinator 402-878-3591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QE0002X Clinic/Center, Emergency Care | |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-05-21 |