Organization
COMMUNITY ACTION PARTNERSHIP OF WESTERN NEBRASKA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAN FITTS (EXECUTIVE DIRECTOR)
(308) 635-3089
Entity
Organization
Contact information
Practice address
975 CRESCENT DR, GERING, NE 69341-1712
(308) 632-2540
(308) 633-2650
Mailing address
3350 10TH ST, GERING, NE 69341-1724
(308) 635-3089
(308) 635-0264
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
HC023
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025346300
—
NE
05
—
110289300
—
WY
Enumeration date
09/24/2010
Last updated
09/24/2010
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