Provider Demographics
NPI:1891353512
Name:COMMUNITY CONCERN OF NORFOLK, INC.
Entity Type:Organization
Organization Name:COMMUNITY CONCERN OF NORFOLK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOERNEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-379-4595
Mailing Address - Street 1:222 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-4010
Mailing Address - Country:US
Mailing Address - Phone:402-379-4595
Mailing Address - Fax:
Practice Address - Street 1:222 N 4TH ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-4010
Practice Address - Country:US
Practice Address - Phone:402-379-4595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-29
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)