Creative Care Solutions, LLC
Nurse Practitioner, Family in Kimball, NE. Organization (NPI-2).
NPI number1245926484
StatusActive
Last updated in NPPESOct 7, 2023
Details
- NPI
- 1245926484
- Entity type
- Organization (NPI-2)
- Legal business name
- Creative Care Solutions, LLC
- Organization subpart
- No
- Enumeration date
- Apr 12, 2023
- Certification date
- Oct 7, 2023
- Last updated
- Oct 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Other names
- Hometown Medical Group (Doing Business As)
Practice location
606 East 3rd StreetKimball, NE 69145-1601
Phone 308-230-2174 · Fax 308-230-2172
Mailing address
606 East 3rd StreetKimball, NE 69145-1601
Phone 308-230-2174 · Fax 308-230-2172
Other practice locations
731 Illinois St
Sidney, NE 69162-1747
Sidney, NE 69162-1747
Phone 308-230-2172 · Fax 308-230-2174
Authorized official
Keri Durae Foster
Owner
3082302172
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