Organization
MIDTOWN HEALTH CENTER, INC.
Active
Parent organization
MIDTOWN HEALTH CENTER, INC.
Other names
Midtown Health Center--Madison
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDTOWN HEALTH CENTER, INC.
Authorized official
KATHY NORDBY (CHIEF EXECUTIVE DIRECTOR)
(402) 370-1060
Entity
Organization
Contact information
Practice address
222 S MAIN ST, BOX 454, MADISON, NE 68748-6485
(402) 454-3304
(402) 454-2567
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
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
—
10025716400
—
NE
01
—
10025716900
MEDICAID FQHC
NE
Enumeration date
10/27/2009
Last updated
07/09/2020
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