Provider Demographics
NPI:1851696660
Name:GOOD NEIGHBOR COMMUNITY HEALTH CENTER
Entity Type:Organization
Organization Name:GOOD NEIGHBOR COMMUNITY HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:J
Authorized Official - Last Name:RAYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-562-8950
Mailing Address - Street 1:2282 E 32ND AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68601-7233
Mailing Address - Country:US
Mailing Address - Phone:402-563-9224
Mailing Address - Fax:402-563-0544
Practice Address - Street 1:4500 63RD ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-8031
Practice Address - Country:US
Practice Address - Phone:402-562-7500
Practice Address - Fax:402-563-0544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEHC036261QF0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)