Provider Demographics
NPI:1790880656
Name:FALLS CITY FAMILY PRACTICE, P.C.
Entity Type:Organization
Organization Name:FALLS CITY FAMILY PRACTICE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:TRAMP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-245-3232
Mailing Address - Street 1:1423 STONE ST
Mailing Address - Street 2:
Mailing Address - City:FALLS CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68355-2660
Mailing Address - Country:US
Mailing Address - Phone:402-245-3232
Mailing Address - Fax:402-245-4022
Practice Address - Street 1:1423 STONE ST
Practice Address - Street 2:
Practice Address - City:FALLS CITY
Practice Address - State:NE
Practice Address - Zip Code:68355-2660
Practice Address - Country:US
Practice Address - Phone:402-245-3232
Practice Address - Fax:402-245-4022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE17024207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty