Healthcare Provider Details

I. General information

NPI: 1861864498
Provider Name (Legal Business Name): GRETNA FAMILY HEALTH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2015
Last Update Date: 10/03/2024
Certification Date: 10/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11820 STANDING STONE DR
GRETNA NE
68028-7979
US

IV. Provider business mailing address

11820 STANDING STONE DR
GRETNA NE
68028-7979
US

V. Phone/Fax

Practice location:
  • Phone: 402-332-3903
  • Fax: 402-391-3076
Mailing address:
  • Phone: 402-332-3903
  • Fax: 402-391-3076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM D WEEKS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 402-332-3903