Healthcare Provider Details
I. General information
NPI: 1043224975
Provider Name (Legal Business Name): FRANCISCAN CARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/28/2006
Last Update Date: 12/02/2022
Certification Date: 12/02/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
430 N MONITOR ST
WEST POINT NE
68788-1595
US
IV. Provider business mailing address
430 N MONITOR ST
WEST POINT NE
68788-1595
US
V. Phone/Fax
- Phone: 402-372-2404
- Fax: 402-372-2360
- Phone: 402-372-2404
- Fax: 402-372-2360
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133N00000X |
| Taxonomy | Nutritionist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
TYLER
J
TOLINE
Title or Position: PRESIDENT & CEO
Credential:
Phone: 402-372-2404