Healthcare Provider Details

I. General information

NPI: 1003346982
Provider Name (Legal Business Name): GREATER SANDHILLS FAMILY HEALTHCARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2017
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 W US HIGHWAY 20
STUART NE
68780-5838
US

IV. Provider business mailing address

PO BOX 377
STUART NE
68780-0377
US

V. Phone/Fax

Practice location:
  • Phone: 402-924-3777
  • Fax: 402-924-3776
Mailing address:
  • Phone: 256-508-7509
  • Fax: 402-924-3012

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: ELAINE A TUBBS
Title or Position: ADMINISTRATOR
Credential:
Phone: 256-508-7509