Provider Demographics
NPI:1831443076
Name:QUALITY HEALTHCARE CLINIC
Entity type:Organization
Organization Name:QUALITY HEALTHCARE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:V
Authorized Official - Last Name:EGGERS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:402-773-0115
Mailing Address - Street 1:301 S WAY AVE
Mailing Address - Street 2:
Mailing Address - City:SUTTON
Mailing Address - State:NE
Mailing Address - Zip Code:68979-2134
Mailing Address - Country:US
Mailing Address - Phone:402-773-0118
Mailing Address - Fax:402-773-0119
Practice Address - Street 1:301 S WAY AVE
Practice Address - Street 2:
Practice Address - City:SUTTON
Practice Address - State:NE
Practice Address - Zip Code:68979
Practice Address - Country:US
Practice Address - Phone:402-773-0115
Practice Address - Fax:402-773-0119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-08
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty