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NPI Code Detail

MEDICARE: GOOD NEIGHBOR COMMUNITY HEALTH CENTER

MEDICARE: GOOD NEIGHBOR COMMUNITY HEALTH CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)HC036NE

General Provider Information

NPI Number : 1134426661
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOOD NEIGHBOR COMMUNITY HEALTH CENTER
Provider Business Mailing Address
First Line : 4321 41ST AVE
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-2131
Country : US
Telephone Number : 402-562-7500
Fax Number : 402-564-0611
Provider Business Practice Location Address
First Line : 4321 41ST AVE
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-2131
Country : US
Telephone Number : 402-562-7500
Fax Number : 402-562-7500
Authorized Official
Title or Position : CEO
Name : JONATHAN HOLLAND
Credential :
Telephone Number : 402-562-8950
Provider Enumeration Date : 02/18/2011
Last Update Date : 07/08/2025

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Directions to “GOOD NEIGHBOR COMMUNITY HEALTH CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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