Provider Demographics
NPI:1790340255
Name:AUBURN FAMILY HEALTH CENTER PC
Entity Type:Organization
Organization Name:AUBURN FAMILY HEALTH CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:KRUGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-274-4993
Mailing Address - Street 1:2115 14TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NE
Mailing Address - Zip Code:68305-1797
Mailing Address - Country:US
Mailing Address - Phone:402-274-4993
Mailing Address - Fax:402-274-4905
Practice Address - Street 1:2115 14TH ST STE 100
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NE
Practice Address - Zip Code:68305-1797
Practice Address - Country:US
Practice Address - Phone:402-274-4993
Practice Address - Fax:402-274-4905
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AUBURN FAMILY HEALTH CENTER PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-09
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty