Organization
BERTRAND HEALTH CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY JOAN HOUCK APRN (OWNER OPERATOR)
(308) 472-1472
Entity
Organization
Contact information
Practice address
402 MINOR AVE, BERTRAND, NE 68927-1234
(308) 472-1472
(308) 472-1471
Mailing address
402 MINOR AVE, PO BOX 444, BERTRAND, NE 68927-1234
(308) 472-1472
(308) 472-1471
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110285
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38615
BLU CROSS AND BLUE SHIELD
NE
Enumeration date
11/09/2010
Last updated
11/24/2010
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