Healthcare Provider Details
I. General information
NPI: 1700350089
Provider Name (Legal Business Name): VERTICAL MINISTRIES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/19/2019
Last Update Date: 01/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2105 17TH ST
GERING NE
69341-2019
US
IV. Provider business mailing address
1825 KINGS RD
GERING NE
69341-2054
US
V. Phone/Fax
- Phone: 308-436-3319
- Fax:
- Phone: 308-765-8227
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282J00000X |
| Taxonomy | Religious Nonmedical Health Care Institution |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
BRIAN
KILEY
CALLAWAY
Title or Position: LICENSED CLINICAL PASTORAL COUNSELO
Credential: PHD
Phone: 308-765-8227