Provider Demographics
NPI:1104834019
Name:FRANCISCAN CARE SERVICES INC
Entity Type:Organization
Organization Name:FRANCISCAN CARE SERVICES INC
Other - Org Name:DINKLAGE MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:J
Authorized Official - Last Name:TOLINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-372-2404
Mailing Address - Street 1:500 E DECATUR ST
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:NE
Mailing Address - Zip Code:68788-1566
Mailing Address - Country:US
Mailing Address - Phone:402-372-2477
Mailing Address - Fax:402-372-6770
Practice Address - Street 1:430 N MONITOR ST
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:NE
Practice Address - Zip Code:68788-1595
Practice Address - Country:US
Practice Address - Phone:402-372-2404
Practice Address - Fax:402-372-2360
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRANCISCAN CARE SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-04
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========14Medicaid
NE=========12Medicaid
NE=========11Medicaid
NE=========10Medicaid
NE=========08Medicaid
NE=========11Medicaid