Provider Demographics
NPI:1578217063
Name:BLUE VALLEY COMMUNITY ACTION, INC.
Entity Type:Organization
Organization Name:BLUE VALLEY COMMUNITY ACTION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:JURGENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-729-2278
Mailing Address - Street 1:PO BOX 273
Mailing Address - Street 2:
Mailing Address - City:FAIRBURY
Mailing Address - State:NE
Mailing Address - Zip Code:68352-0273
Mailing Address - Country:US
Mailing Address - Phone:402-729-2278
Mailing Address - Fax:402-729-2801
Practice Address - Street 1:1320 G ST
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:NE
Practice Address - Zip Code:68361-2104
Practice Address - Country:US
Practice Address - Phone:402-759-3345
Practice Address - Fax:402-759-3690
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BLUE VALLEY COMMUNITY ACTION, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker