Midtown Health Center, Inc. | |
600 E Benjamin Ave Norfolk NE 68701-0830 | |
(402) 371-8000 | |
Not Available |
Full Name | Midtown Health Center, Inc. |
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Speciality | Clinic/Center |
Location | 600 E Benjamin Ave, Norfolk, Nebraska |
Authorized Official Name and Position | Melodee J Drenkow (SYSTEMS AUDITOR/CREDENTIALING) |
Authorized Official Contact | 4023701064 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Midtown Health Center, Inc. 302 W Phillip Ave Norfolk NE 68701-5248 Ph: (402) 371-8000 | Midtown Health Center, Inc. 600 E Benjamin Ave Norfolk NE 68701-0830 Ph: (402) 371-8000 |
NPI Number | 1992358824 |
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Provider Enumeration Date | 07/19/2019 |
Last Update Date | 07/09/2020 |
Medicare PECOS PAC ID | 9133110182 |
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Medicare Enrollment ID | O20240729003225 |
Identifier | Type | State | Issuer |
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1992358824 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
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