Organization
CITY OF GENOA
Active
Parent organization
CITY OF GENOA
Other names
Loup Valley Health Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF GENOA
Authorized official
AMANDA ROEBUCK (CEO)
(402) 993-4583
Entity
Organization
Contact information
Practice address
303 BROADWAY ST, FULLERTON, NE 68638-3152
(402) 993-2283
Mailing address
PO BOX 310, GENOA, NE 68640-0310
(402) 993-2283
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2017
Last updated
01/23/2020
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