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Organization
GOOD NEIGHBOR COMMUNITY HEALTH CENTER
Active
Organization
GOOD NEIGHBOR COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA BORMANN (BILLING SUPERVISOR)
(402) 562-8955
Entity
Organization
Contact information
Practice address
4321 41ST AVE, COLUMBUS, NE 68601-2131
(402) 532-7500
(402) 564-0611
Mailing address
4321 41ST AVE, COLUMBUS, NE 68601-2131
(402) 562-7500
(402) 564-0611
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4935
NE
261QF0400X
Federally Qualified Health Center (FQHC)
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—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47063510200
—
NE
Enumeration date
07/02/2018
Last updated
03/16/2023
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