Organization Name: | MERRICK COUNTY |
NPI Number: | 1588972459 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL BOWMAN (ADMINISTRATOR) |
Mailing Address: | 1715 26th St Central City |
State: | NE US |
Postal Code: | 688269501 |
Phone Number: | 3089463015 |
Fax Number: | 3089465914 |
NPI Enumeration Date: | 09/14/2010 |
NPI Last Update Date: | 11/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |