Organization Active NPI

Family Advocacy Network

  • Clinic/Center
  • Kearney, NE
National Provider Identifier
1700031028
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
19872 Issued in NE
Legal business name
FAMILY ADVOCACY NETWORK
Practice address
106 E 31St St
Kearney, NE 68847-3063
Phone
(308) 865-7492
Fax
(308) 865-2971
NPI assigned
Dec 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Authorized official

Name
Yvette M Haeberle, M.D.
Title
Medical Director
Phone
(308) 865-7492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 19872 NE Primary

Addresses

Primary practice location

106 E 31St St
Kearney, NE 68847-3063

Mailing address

106 East 31St Street
P.O. Box 1990
Kearney, NE 68848-1990
Phone (308) 865-7492

National Provider Directory

National Provider Directory
Tax ID family
Family Advocacy Network2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1700031028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 EAST 31ST STREET",
            "address_2": "P.O. BOX 1990",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688481990",
            "telephone_number": "308-865-7492",
            "fax_number": "308-865-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E 31ST ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688473063",
            "telephone_number": "308-865-7492",
            "fax_number": "308-865-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ADVOCACY NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "HAEBERLE",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "308-865-7492",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NE",
            "license": "19872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.