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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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