Organization
CITY OF GENOA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA ROEBUCK (CEO)
(402) 993-4583
Entity
Organization
Contact information
Practice address
505 S PARK ST, GENOA, NE 68640-3036
(402) 993-2206
(402) 993-2595
Mailing address
505 S PARK ST, PO BOX 310, GENOA, NE 68640-3036
(402) 993-2206
(402) 993-2595
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025924300 NRH
—
NE
01
—
273722254
COMMERCIAL
NE
01
—
CS4410
RAILROAD MEDICARE
NE
01
—
NA
CHAMPUS
NE
05
—
NA RH
—
NE
Enumeration date
07/09/2006
Last updated
01/23/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us