Provider First Line Business Practice Location Address:
333 EAST 2ND STREET
Provider Second Line Business Practice Location Address:
REGIONAL MEDICAL FACILITY
Provider Business Practice Location Address City Name:
OGALLALA
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
69153-3421
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
308-284-9838
Provider Business Practice Location Address Fax Number:
308-284-4120
Provider Enumeration Date:
03/08/2006