Good Neighbor Community Health Center

Primary specialty

DentistTaxonomy code 122300000X

License

4935 Issued in NE

Legal business name

GOOD NEIGHBOR COMMUNITY HEALTH CENTER

Practice address

4321 41St Ave
Columbus, NE 68601-2131

Phone

(402) 532-7500

Fax

(402) 564-0611

NPI assigned

Jul 2, 2018

Last updated

Mar 16, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cassandra Bormann

Title

Billing Supervisor

Phone

(402) 562-8955

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1275029209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 41ST AVE",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686012131",
            "telephone_number": "402-562-7500",
            "fax_number": "402-564-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 41ST AVE",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686012131",
            "telephone_number": "402-532-7500",
            "fax_number": "402-564-0611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2740 N Clarkson St",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "NE",
            "postal_code": "680257702",
            "country_code": "US",
            "telephone_number": "402-721-0951",
            "fax_number": "402-564-0611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOOD NEIGHBOR COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "BORMANN",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "402-562-8955"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NE",
            "license": "4935",
            "primary": true
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Gonzalez
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• Good Neighbor Community Health Center
• Good Neighbor Community Health Center (Gnchc Mental Health Clinic)
• Good Neighbor Community Health Center (Gnchc Dental Care Clinic)
• Good Neighbor Community Health Center
• Good Neighbor Community Health Center
• Good Neighbor Community Health Center
• Roger M Goos, PLMHP

• Dentist in Columbus, NE
• Providers in Columbus, NE by specialty
• Dentist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.