Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2006-08-18
- Last updated
- 2020-09-23
Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 208 N FRENCH AVE
- City
- SUTTON NE
- Postal code
- 689792215
- Phone
- 402-773-2130
Organization contact
- Name
- JILL MYERS
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- 4027234512
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.