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Organization

REGIONAL WEST GARDEN COUNTY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES STRONG (CFO/VICE PRESIDENT OF FINANCE)
(308) 630-1111
Entity
Organization

Contact information

Practice address
2 W 42ND ST, SUITE 2300, SCOTTSBLUFF, NE 69361-0617
(308) 630-1149
(308) 630-1886
Mailing address
2 W 42ND ST, SUITE 2300, SCOTTSBLUFF, NE 69361-0617
(308) 630-1149
(308) 630-1886

Taxonomy

Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
363LF0000X
Family Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
701500
NEBRASKA LICENSE
NE
Enumeration date
07/08/2011
Last updated
02/17/2016
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