OrganizationActive
City of Genoa
NPI 1720505522 · Rural Health Clinic/Center · Genoa, NE
Provider details
- NPI number
- 1720505522
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- City of Genoa
- Organization subpart
- Yes
- Authorized official
- Amanda Roebuck, Ceo(402) 993-4583
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
505 S Park St
Genoa, NE 68640-3036
Phone: (402) 993-2205
Fax: (402) 993-2595
Street-level locationGet directions
Mailing address
Po Box 425
Genoa, NE 68640-0425
Other names (DBA / former)
- Other name
- Park Street Medical Clinic
- Other name
- Park Street Medical Clinic
Registry dates
- Enumerated
- 2017-08-23
- Last updated
- 2020-01-23
- Certified
- 2020-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.