# HENDERSON HEALTH CARE SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SUTTON FAMILY PRACTICE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881708709
- **Authorized official:** MRS. JILL ANN MYERS (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (402) 723-4512

## Contact information

- **Practice address:** 208 N FRENCH AVE, SUTTON, NE 68979-2215
- **Practice address phone:** (402) 773-2130
- **Practice address fax:** (402) 723-4520
- **Mailing address:** 1621 FRONT ST, HENDERSON, NE 68371-8902
- **Mailing address phone:** (402) 773-2130
- **Mailing address fax:** (402) 723-4520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 09/23/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025317100 | — | NE |
| 05 | — | 10025326900 | — | NE |
