Organization Name: | HAVCO HEALTH INC. |
NPI Number: | 1013125244 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHY L. HAVLICEK (PRESIDENT AND CEO) |
Mailing Address: | 1630 S 70th St Suite 201 Lincoln |
State: | NE US |
Postal Code: | 685061500 |
Phone Number: | 4024883946 |
Fax Number: | 4024886031 |
NPI Enumeration Date: | 05/20/2007 |
NPI Last Update Date: | 04/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | 110806 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |