Healthcare Provider Details

I. General information

NPI: 1740384312
Provider Name (Legal Business Name): FAITH REGIONAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 01/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1603 W PROSPECT AVE
NORFOLK NE
68701-3683
US

IV. Provider business mailing address

PO BOX 869
NORFOLK NE
68702-0869
US

V. Phone/Fax

Practice location:
  • Phone: 402-644-7592
  • Fax: 402-644-7464
Mailing address:
  • Phone: 402-644-7144
  • Fax: 402-644-7432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0700X
TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
License NumberESRD015
License Number StateNE

VIII. Authorized Official

Name: MR. JAMES J. SINEK
Title or Position: PRESIDENT/CEO
Credential:
Phone: 402-644-7468