Organization Name: | NEW BEGINNINGS HEALTH CARE CENTER LLC |
NPI Number: | 1063665685 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANET MAE BOCK (C.E.O., CLINICIAN) |
Mailing Address: | 829 W Court St Suite #4 Beatrice |
State: | NE US |
Postal Code: | 683103578 |
Phone Number: | 4022286446 |
Fax Number: | 4022280394 |
NPI Enumeration Date: | 10/28/2008 |
NPI Last Update Date: | 10/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 110019 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |