# BOONE COUNTY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BOONE COUNTY HEALTH CENTER
- **Other names:** Boone County Professional Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669407821
- **Legal business name:** BOONE COUNTY HEALTH CENTER
- **Authorized official:** CALEB K POORE (CEO)
- **Authorized official phone:** (402) 395-3213

## Contact information

- **Practice address:** 723 W FAIRVIEW ST, ALBION, NE 68620-1767
- **Practice address phone:** (402) 395-2191
- **Mailing address:** PO BOX 151, ALBION, NE 68620-0151
- **Mailing address phone:** (402) 395-3213
- **Mailing address fax:** (402) 395-3173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 10/08/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2927 | BCBS OF NEBRASKA | NE |
| 01 | — | 8557 | BCBS OF NEBRASKA | NE |