Healthcare Provider Details

I. General information

NPI: 1215594619
Provider Name (Legal Business Name): FRANCISCAN CARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2019
Last Update Date: 07/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E DECATUR ST
WEST POINT NE
68788-1565
US

IV. Provider business mailing address

430 N MONITOR ST
WEST POINT NE
68788-1555
US

V. Phone/Fax

Practice location:
  • Phone: 402-372-2477
  • Fax: 402-372-6770
Mailing address:
  • Phone: 402-372-2404
  • Fax: 402-372-2360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID AMEEN
Title or Position: INTERIM PRESIDENT & CEO
Credential:
Phone: 402-372-2404