# GOOD NEIGHBOR COMMUNITY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275029209
- **Authorized official:** CASSANDRA BORMANN (BILLING SUPERVISOR)
- **Authorized official phone:** (402) 562-8955

## Contact information

- **Practice address:** 4321 41ST AVE, COLUMBUS, NE 68601-2131
- **Practice address phone:** (402) 532-7500
- **Practice address fax:** (402) 564-0611
- **Mailing address:** 4321 41ST AVE, COLUMBUS, NE 68601-2131
- **Mailing address phone:** (402) 562-7500
- **Mailing address fax:** (402) 564-0611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4935 | NE | Yes |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | NULL | — |

## Other

- **Enumeration date:** 07/02/2018
- **Last updated:** 03/16/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 47063510200 | — | NE |