Provider Demographics
NPI:1548532542
Name:ELKHORN LOGAN VALLEY PUBLIC HEALTH DEPARTMENT
Entity type:Organization
Organization Name:ELKHORN LOGAN VALLEY PUBLIC HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:UHING
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:402-529-2233
Mailing Address - Street 1:PO BOX 779
Mailing Address - Street 2:
Mailing Address - City:WISNER
Mailing Address - State:NE
Mailing Address - Zip Code:68791-0779
Mailing Address - Country:US
Mailing Address - Phone:402-529-2233
Mailing Address - Fax:402-529-2211
Practice Address - Street 1:2104 21ST CIR
Practice Address - Street 2:
Practice Address - City:WISNER
Practice Address - State:NE
Practice Address - Zip Code:68791-2044
Practice Address - Country:US
Practice Address - Phone:402-529-2233
Practice Address - Fax:402-529-2211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-07
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare