Organization Name: | GOOD NEIGHBOR COMMUNITY HEALTH CENTER |
NPI Number: | 1740491786 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REBECCA RAYMAN (EXECTIVE DIRECTOR) |
Mailing Address: | 2282 E 32nd Ave Columbus |
State: | NE US |
Postal Code: | 686017233 |
Phone Number: | 4025639224 |
Fax Number: | 4025640611 |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 10/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | HC036 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |