Boone County Professional Services | |
723 W Fairview St Albion NE 68620-1767 | |
(402) 395-2191 | |
Not Available |
Full Name | Boone County Professional Services |
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Speciality | Family Medicine |
Location | 723 W Fairview St, Albion, Nebraska |
Authorized Official Name and Position | Caleb K Poore (CEO) |
Authorized Official Contact | 4023953213 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Boone County Professional Services Po Box 151 Albion NE 68620-0151 Ph: (402) 395-3213 | Boone County Professional Services 723 W Fairview St Albion NE 68620-1767 Ph: (402) 395-2191 |
NPI Number | 1669407821 |
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Provider Enumeration Date | 07/12/2006 |
Last Update Date | 10/08/2024 |
Certification Date | 10/08/2024 |
Medicare PECOS PAC ID | 1254306178 |
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Medicare Enrollment ID | O20040901001284 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669407821 | NPI | - | NPPES |
2927 | Other | NE | BCBS OF NEBRASKA |
8557 | Other | NE | BCBS OF NEBRASKA |
Provider Name | Joel A Travis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689608085 PECOS PAC ID: 6305811209 Enrollment ID: I20040901001142 |
Provider Name | Anthony P Kusek |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760417901 PECOS PAC ID: 6901873199 Enrollment ID: I20040916000341 |
Provider Name | Sean R Kohl |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629068325 PECOS PAC ID: 5395704159 Enrollment ID: I20041007000167 |
Provider Name | Tami Sue Dodds |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376578526 PECOS PAC ID: 3476562869 Enrollment ID: I20060412000557 |
Provider Name | Kathy A Schindler |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326077827 PECOS PAC ID: 7012920341 Enrollment ID: I20060804000273 |
Provider Name | Lynette D Kramer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710912969 PECOS PAC ID: 1052456787 Enrollment ID: I20100305000738 |
Provider Name | John F Mazour |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578581302 PECOS PAC ID: 6406991132 Enrollment ID: I20100305000744 |
Provider Name | Bridgette L Pudwill |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891059572 PECOS PAC ID: 7618107871 Enrollment ID: I20140308000210 |
Provider Name | Amy L Olnes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902391642 PECOS PAC ID: 4284981697 Enrollment ID: I20180717000959 |
Provider Name | Danielle M Krohn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255986592 PECOS PAC ID: 2466784434 Enrollment ID: I20191023002953 |
Provider Name | Carissa J Mangus |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326604570 PECOS PAC ID: 1951633692 Enrollment ID: I20220823000821 |
Provider Name | Candice M Schnoor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669189627 PECOS PAC ID: 1951770577 Enrollment ID: I20221202002635 |
Provider Name | Kayla R Baker |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1821440652 PECOS PAC ID: 8921458183 Enrollment ID: I20231229001747 |
Provider Name | Teal I Hunt |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1710502752 PECOS PAC ID: 3678923752 Enrollment ID: I20240102002827 |
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