Provider Demographics
NPI:1033318217
Name:GREATER SANDHILLS FAMILY HEALTHCARE, P.C.
Entity type:Organization
Organization Name:GREATER SANDHILLS FAMILY HEALTHCARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:TUBBS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:256-508-7509
Mailing Address - Street 1:PO BOX 377
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:NE
Mailing Address - Zip Code:68780-0377
Mailing Address - Country:US
Mailing Address - Phone:256-508-7509
Mailing Address - Fax:402-924-3776
Practice Address - Street 1:102 W US HIGHWAY 20
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:NE
Practice Address - Zip Code:68780-5838
Practice Address - Country:US
Practice Address - Phone:402-924-3777
Practice Address - Fax:402-924-3776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-17
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural HealthGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE100255358-00Medicaid
NE1025535800Medicaid