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221 S 4th St Elmwood NE 68349-6027 | |
(402) 840-9896 | |
(470) 275-0883 |
Full Name | |
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Speciality | Nurse Practitioner |
Location | 221 S 4th St, Elmwood, Nebraska |
Authorized Official Name and Position | Tracey Lynn Hamor (OWNER/CEO) |
Authorized Official Contact | 4028409896 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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140 N. 4th Street Po Box 208 Elmwood NE 68349-6027 Ph: (402) 840-9896 | 221 S 4th St Elmwood NE 68349-6027 Ph: (402) 840-9896 |
NPI Number | 1245841048 |
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Provider Enumeration Date | 08/14/2020 |
Last Update Date | 11/07/2022 |
Certification Date | 11/07/2022 |
Medicare PECOS PAC ID | 1254744089 |
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Medicare Enrollment ID | O20210115000108 |
Identifier | Type | State | Issuer |
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1245841048 | NPI | - | NPPES |
Provider Name | Tracey L Hamor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215434683 PECOS PAC ID: 9931457421 Enrollment ID: I20180731001281 |
Elissa Mcgill Consulting Services, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 221 S 4th St Ste 101, Elmwood, NE 68349 Phone: 402-709-3140 |