| NPI | 1942857883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE ANN MILLS Dir Of Ops 308-384-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |