Heritage of Fairbury-St Edward, Inc
Organization Active NPI Skilled Nursing Facility · Saint Edward, NE
NPI 1801905641 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1801905641
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 34002 (NE)
- Legal business name
- HERITAGE OF FAIRBURY-ST EDWARD, INC
- Practice address
- 301 N 13TH St
Saint Edward, NE 68660-4426 - Phone
- (402) 678-2294
- Fax
- (402) 678-2446
- NPI assigned
- Aug 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Jack Dean Vetter
- Title
- President
- Phone
- (402) 895-3932
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 34002 | NE | Yes |
Addresses
Primary practice location
301 N 13TH St
Saint Edward, NE 68660-4426
Mailing address
301 N 13TH St
Saint Edward, NE 68660-4426
Phone (402) 678-2294
Other names
- Cloverlodge Care Center
Other providers in Saint Edward, NE
- Sally J Choat
- Country Clinics PC
- County of Boone School Dist 17
- Hailey Jean Eckstein
- Jolene Fitchner
- Robin Carrie Hoffmeister
- Megan Christina Holtgrewe
- Rebekah Ketelsen
- Dawn Labenz
- Sara Dawn Mahony
All providers in Saint Edward, 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 Aug 22, 2020. 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.