Organization
MIDTOWN HEALTH CENTER, INC.
Active
Organization
MIDTOWN HEALTH CENTER, INC.
Active
Other names
Norfolk Community Health Care Clinic, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY NORDBY (EXECUTIVE DIRECTOR)
(402) 370-1060
Entity
Organization
Contact information
Practice address
302 W PHILLIP AVE, NORFOLK, NE 68701-5248
(402) 371-8000
(402) 371-0971
Mailing address
302 W PHILLIP AVE, NORFOLK, NE 68701-5248
(402) 371-8000
(402) 371-0971
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
HC050
NE
1223D0001X
Public Health Dentistry
HC050
NE
1223G0001X
General Practice Dentistry
HC050
NE
261QC1500X
Community Health Clinic/Center
HC050
NE
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
HC050
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025126400
—
NE
01
—
10025704700
MEDICAID FQHC
NE
01
—
10025728800
MEDICAID MENTAL HEALTH
NE
Enumeration date
12/11/2007
Last updated
07/09/2020
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