Healthcare Provider Details

I. General information

NPI: 1104910397
Provider Name (Legal Business Name): CREIGHTON AREA HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 11/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 JAMES ST
VERDIGRE NE
68783-6149
US

IV. Provider business mailing address

PO BOX 99
VERDIGRE NE
68783-0099
US

V. Phone/Fax

Practice location:
  • Phone: 402-668-2216
  • Fax: 402-668-2310
Mailing address:
  • Phone: 402-668-2216
  • Fax: 402-668-2310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. KIMBERLY J. HIXSON
Title or Position: CFO
Credential:
Phone: 402-358-5715