Heritage of Fairbury/St Edward, Inc
Organization Active NPI Skilled Nursing Facility · Fairbury, NE
NPI 1619085123 · NPPES record last updated Dec 20, 2010
Key facts
- NPI
- 1619085123
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 444001 (NE)
- Legal business name
- HERITAGE OF FAIRBURY/ST EDWARD, INC
- Practice address
- 909 17TH St
Fairbury, NE 68352-1215 - Phone
- (402) 729-2289
- Fax
- (402) 729-5233
- NPI assigned
- Aug 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Jack Dean Vetter
- Title
- President
- Phone
- (402) 895-3932
National Provider Directory
Locations
909 17th St
Fairbury, NE 68352
Phone (402) 729-2289
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 444001 | NE | Yes |
Addresses
Primary practice location
909 17TH St
Fairbury, NE 68352-1215
Mailing address
PO Box 667
Fairbury, NE 68352-0667
Phone (402) 729-2289
Other names
- Heritage Care Center
Other providers in Fairbury, NE
- Michael Gude
- Jessica Echo Hackler
- Jackie Michele Hahn
- Abby N Hanzlicek
- Don Lewis Henslee
- Edward Herrington
- Rebecca Herrington
- Morgan Hill
- Larissa L Hoffman
- Tracy Holsing
All providers in Fairbury, NE · Skilled Nursing Facility in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.