Provider Demographics
NPI:1043943392
Name:COMMUNITY EMPOWERMENT
Entity Type:Organization
Organization Name:COMMUNITY EMPOWERMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMAAL
Authorized Official - Middle Name:
Authorized Official - Last Name:HALE
Authorized Official - Suffix:
Authorized Official - Credentials:PLMHP
Authorized Official - Phone:402-730-0831
Mailing Address - Street 1:903 A ST
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:NE
Mailing Address - Zip Code:68418-2555
Mailing Address - Country:US
Mailing Address - Phone:402-730-0831
Mailing Address - Fax:
Practice Address - Street 1:903 A ST
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:NE
Practice Address - Zip Code:68418-2555
Practice Address - Country:US
Practice Address - Phone:402-730-0831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-05
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center