# GREATER SANDHILLS FAMILY HEALTHCARE, PC

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

## Provider details

- **NPI number:** 1295920981
- **Authorized official:** DR. JOHN D TUBBS M.D. (PRESIDENT)
- **Authorized official phone:** (402) 924-3660

## Contact information

- **Practice address:** 101 E SOUTH STREET, BASSETT, NE 68714-0146
- **Practice address phone:** (402) 684-2285
- **Practice address fax:** (402) 684-2299
- **Mailing address:** PO BOX 146, BASSETT, NE 68714-0146
- **Mailing address phone:** (402) 684-2285
- **Mailing address fax:** (402) 684-2299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/06/2007
- **Last updated:** 01/09/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025535900 | — | NE |
| 01 | — | 10025616100 | RHC MEDICAID | NE |