| Advanced Family Healthcare Llc | |
|
926 E E St Hastings NE 68901-6617 | |
| (402) 303-8802 | |
| (402) 487-0599 |
| Full Name | Advanced Family Healthcare Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 926 E E St, Hastings, Nebraska |
| Authorized Official Name and Position | Tamaka K Gangwish (APRN) |
| Authorized Official Contact | 4023038802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Family Healthcare Llc 926 East 'e' St Hastings NE 68901 Ph: () - | Advanced Family Healthcare Llc 926 E E St Hastings NE 68901-6617 Ph: (402) 303-8802 |
| NPI Number | 1285359000 |
|---|---|
| Provider Enumeration Date | 10/04/2022 |
| Last Update Date | 12/19/2023 |
| Medicare PECOS PAC ID | 6103296777 |
|---|---|
| Medicare Enrollment ID | O20221227000106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285359000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Phyllis A Gundersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295785608 PECOS PAC ID: 1759301625 Enrollment ID: I20051207000157 |
| Provider Name | Brenda R Nunley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891923702 PECOS PAC ID: 9335293232 Enrollment ID: I20090812000021 |
| Provider Name | Melissa M Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457766735 PECOS PAC ID: 8426276262 Enrollment ID: I20140820001386 |
| Provider Name | Tamaka K Gangwish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669844916 PECOS PAC ID: 9537460258 Enrollment ID: I20151222000203 |
| Provider Name | Carisa Marie Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588343917 PECOS PAC ID: 1658721089 Enrollment ID: I20231228000647 |
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