| NPI | 1922339134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIEVIA RUSH WILKS Owner/Ap RN 402-477-3506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2025-01-28 |