| NPI | 1962059766 |
|---|---|
| Doing Business As | GOTHENBURG HEALTH QUALITY PROGRAMS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRANT CEO 308-537-3661 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 207Q00000X Family Medicine | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |