Organization
SKYLINE MEDICAL CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM P FITZGIBBONS M.D. (PRESIDENT)
(402) 289-4031
Entity
Organization
Contact information
Practice address
1908 N 203RD ST, ELKHORN, NE 68022-2889
(402) 289-4031
(402) 289-3185
Mailing address
1908 N 203RD ST, ELKHORN, NE 68022-2889
(402) 289-4031
(402) 289-3185
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477526341
NPI
—
01
—
28D0713450
CLIA
—
Enumeration date
02/09/2006
Last updated
08/17/2018
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