| NPI | 1982718219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL F. ICKOWSKI Vice President / CFO 308-630-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NE 700001) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 700001) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2016-11-22 |