Organization Name: | SAUNDERS MEDICAL CENTER |
NPI Number: | 1467442244 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TYLER TOLINE (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 1760 County Road J Wahoo |
State: | NE US |
Postal Code: | 680664152 |
Phone Number: | 4024434191 |
Fax Number: | 4024431433 |
NPI Enumeration Date: | 10/24/2005 |
NPI Last Update Date: | 02/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |