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General NPI Number Information
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NPI Number | 1144119488
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Entity Type | Organization
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Legal Business Name | BOONE COUNTY HEALTH CENTER
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 1102 WATER ST
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City | SAINT EDWARD
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State | NE
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Zip | 68660-4478
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Country | US
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Telephone | 402-678-2232
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 151
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City | ALBION
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State | NE
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Zip | 68620-0151
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Country | US
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Telephone | 402-395-2191
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Fax | 402-395-3173
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Authorized Official
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Title or Position | CEO
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Name | CALEB K POORE
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Credential |
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Telephone | 402-395-3213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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