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620 Main St Suite A Adams NE 68301-8277 | |
(402) 988-2188 | |
(402) 988-2203 |
Full Name | |
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Speciality | Clinic/Center |
Location | 620 Main St, Adams, Nebraska |
Authorized Official Name and Position | Mary Jane Kent (CEO) |
Authorized Official Contact | 4023353361 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 538 Tecumseh NE 68450-0538 Ph: (402) 335-2811 | 620 Main St Suite A Adams NE 68301-8277 Ph: (402) 988-2188 |
NPI Number | 1003027442 |
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Provider Enumeration Date | 05/25/2007 |
Last Update Date | 01/19/2022 |
Medicare PECOS PAC ID | 4688583644 |
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Medicare Enrollment ID | O20070829000811 |
Identifier | Type | State | Issuer |
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1003027442 | NPI | - | NPPES |
10025542000 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |