Healthcare Provider Details

I. General information

NPI: 1790880656
Provider Name (Legal Business Name): FALLS CITY FAMILY PRACTICE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 06/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1423 STONE ST
FALLS CITY NE
68355-2660
US

IV. Provider business mailing address

1423 STONE ST
FALLS CITY NE
68355-2660
US

V. Phone/Fax

Practice location:
  • Phone: 402-245-3232
  • Fax: 402-245-4022
Mailing address:
  • Phone: 402-245-3232
  • Fax: 402-245-4022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number17024
License Number StateNE

VIII. Authorized Official

Name: DR. ALLAN W. TRAMP
Title or Position: PRESIDENT
Credential: M.D.
Phone: 402-245-3232