Provider Demographics
NPI:1588904460
Name:BLUE VALLEY COMMUNITY ACTION, INC.
Entity type:Organization
Organization Name:BLUE VALLEY COMMUNITY ACTION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:
Authorized Official - Last Name:WURTZ-MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-729-2278
Mailing Address - Street 1:620 5TH ST
Mailing Address - Street 2:
Mailing Address - City:FAIRBURY
Mailing Address - State:NE
Mailing Address - Zip Code:68352-2624
Mailing Address - Country:US
Mailing Address - Phone:402-729-2278
Mailing Address - Fax:402-729-2801
Practice Address - Street 1:620 5TH ST
Practice Address - Street 2:
Practice Address - City:FAIRBURY
Practice Address - State:NE
Practice Address - Zip Code:68352-2624
Practice Address - Country:US
Practice Address - Phone:402-729-2278
Practice Address - Fax:402-729-2801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-28
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare