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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