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Contact Information

HERITAGE OF FAIRBURY/ST EDWARD, INC
909 17TH ST
FAIRBURY, NE68352-1215
 Phone: 402-729-2289
 Fax: 402-729-5233
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for HERITAGE OF FAIRBURY/ST EDWARD, INC

NPI # 1619085123
LBN Legal business name HERITAGE OF FAIRBURY/ST EDWARD, INC
Authorized official JACK VETTER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/25/2006
Last updated 12/20/2010 - About 15 years ago
Identifiers
NE License # 444001
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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