Provider Demographics
NPI:1609298074
Name:FRANCISCAN CARE SERVICES INC
Entity Type:Organization
Organization Name:FRANCISCAN CARE SERVICES INC
Other - Org Name:HOOPER MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INTERIM PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:AMEEN
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 1:600 E FULTON ST
Practice Address - Street 2:STE A
Practice Address - City:HOOPER
Practice Address - State:NE
Practice Address - Zip Code:68031-3074
Practice Address - Country:US
Practice Address - Phone:402-654-2221
Practice Address - Fax:402-654-2227
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRANCISCAN CARE SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-01-20
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE288537Medicare Oscar/Certification