Organization
GREATER SANDHILLS FAMILY HEALTHCARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D TUBBS M.D. (PRESIDENT)
(402) 924-3660
Entity
Organization
Contact information
Practice address
101 E SOUTH STREET, BASSETT, NE 68714-0146
(402) 684-2285
(402) 684-2299
Mailing address
PO BOX 146, BASSETT, NE 68714-0146
(402) 684-2285
(402) 684-2299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025535900
—
NE
01
—
10025616100
RHC MEDICAID
NE
Enumeration date
09/06/2007
Last updated
01/09/2012
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