Organization Name: | CITY OF GENOA |
NPI Number: | 1104859206 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID JENNINGS (ADMINISTRATOR) |
Mailing Address: | 505 S Park St Genoa |
State: | NE US |
Postal Code: | 686403036 |
Phone Number: | 4029932206 |
Fax Number: | 4029932595 |
NPI Enumeration Date: | 07/09/2006 |
NPI Last Update Date: | 12/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | NA |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |