Organization
VILLAGE OF BOYS TOWN
Active
Organization
VILLAGE OF BOYS TOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA LARSEN (FIN. OFFICIER)
(531) 355-1040
Entity
Organization
Contact information
Practice address
242 MONSKY DR, BOYS TOWN, NE 68010-7550
(402) 498-3151
Mailing address
10802 FARNAM DR, OMAHA, NE 68154-3237
(531) 895-5853
(877) 343-0131
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
5058
NE
Other
Enumeration date
11/12/2012
Last updated
11/07/2023
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