Organization
COMMUNITY HEALTH AND IMMUNIZATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARA ANDERSON (DIRECTOR OF COMMUNITY DEVELOPMENT)
(480) 646-9031
Entity
Organization
Contact information
Practice address
10730 PACIFIC ST, SUITE 221 B, OMAHA, NE 68114-4799
(402) 715-9308
Mailing address
8324 E HARTFORD DR, SCOTTSDALE, AZ 85255-5466
(877) 358-8646
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
19357
NE
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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