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Organization

FAITH REGIONAL HEALTH SERVICES

Active
Parent organization
FAITH REGIONAL HEALTH SERVICES
Other names
Northeast Nebraska Dialysis Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
FAITH REGIONAL HEALTH SERVICES
Authorized official
MR. JAMES J. SINEK (PRESIDENT/CEO)
(402) 644-7468
Entity
Organization

Contact information

Practice address
1603 W PROSPECT AVE, NORFOLK, NE 68701-3683
(402) 644-7592
(402) 644-7464
Mailing address
PO BOX 869, NORFOLK, NE 68702-0869
(402) 644-7144
(402) 644-7432

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD015
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0006400415
AETNA ESRD
NE
01
00519
BCBS ESRD
NE
01
5000020
UNITED HEALTHCARE ESRD
NE
05
5530790
SD
Enumeration date
09/12/2006
Last updated
01/05/2010
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