Organization
VILLAGE OF CAMPBELL
Active
Other names
Grandview Manor
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN M SKUPA (VILLAGE CHAIRMAN)
(402) 756-8661
Entity
Organization
Contact information
Practice address
148 BROAD ST, CAMPBELL, NE 68932-2610
(402) 756-8701
Mailing address
148 BROAD ST, CAMPBELL, NE 68932-2610
(402) 756-8701
(402) 756-8705
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
294001
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000811
BLUE CROSS
NE
Enumeration date
02/05/2007
Last updated
04/20/2008
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