Provider Demographics
NPI:1306833975
Name:CITY OF HARVARD
Entity Type:Organization
Organization Name:CITY OF HARVARD
Other - Org Name:HARVARD REST HAVEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:L
Authorized Official - Last Name:SEDERSTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-772-7591
Mailing Address - Street 1:400 E 7TH ST
Mailing Address - Street 2:BOX 546
Mailing Address - City:HARVARD
Mailing Address - State:NE
Mailing Address - Zip Code:68944-2117
Mailing Address - Country:US
Mailing Address - Phone:402-772-7591
Mailing Address - Fax:402-772-7111
Practice Address - Street 1:400 E 7TH ST
Practice Address - Street 2:BOX 546
Practice Address - City:HARVARD
Practice Address - State:NE
Practice Address - Zip Code:68944-2117
Practice Address - Country:US
Practice Address - Phone:402-772-7591
Practice Address - Fax:402-772-7111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-29
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE164002313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE164002Medicaid
NE164002Medicaid