Organization
HENDERSON HEALTH CARE SERVICES, INC.
Active
Other names
SUTTON FAMILY PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JILL ANN MYERS (CHIEF FINANCIAL OFFICER)
(402) 723-4512
Entity
Organization
Contact information
Practice address
208 N FRENCH AVE, SUTTON, NE 68979-2215
(402) 773-2130
(402) 723-4520
Mailing address
1621 FRONT ST, HENDERSON, NE 68371-8902
(402) 773-2130
(402) 723-4520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025317100
—
NE
05
—
10025326900
—
NE
Enumeration date
08/18/2006
Last updated
09/23/2020
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