Provider Demographics
NPI:1356656623
Name:PEOPLES FAMILY HEALTH SVC INC
Entity Type:Organization
Organization Name:PEOPLES FAMILY HEALTH SVC INC
Other - Org Name:FAMILY PLANNING CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-534-3077
Mailing Address - Street 1:102 S ELM ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-5170
Mailing Address - Country:US
Mailing Address - Phone:308-534-3075
Mailing Address - Fax:308-534-6104
Practice Address - Street 1:102 S ELM ST
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-5170
Practice Address - Country:US
Practice Address - Phone:308-534-3075
Practice Address - Fax:308-534-6104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-11
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE223336C0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2055608OtherPK
NE=========12Medicaid