Ainsworth Family Clinic | |
913 E Zero St Ainsworth NE 69210-1556 | |
(402) 387-1900 | |
(402) 387-0139 |
Full Name | Ainsworth Family Clinic |
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Speciality | Clinic/Center |
Location | 913 E Zero St, Ainsworth, Nebraska |
Authorized Official Name and Position | Mirya Hallock (CEO) |
Authorized Official Contact | 4023872800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ainsworth Family Clinic 945 E Zero St Ainsworth NE 69210-1556 Ph: (402) 387-2800 | Ainsworth Family Clinic 913 E Zero St Ainsworth NE 69210-1556 Ph: (402) 387-1900 |
NPI Number | 1073861456 |
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Provider Enumeration Date | 08/16/2012 |
Last Update Date | 08/15/2022 |
Medicare PECOS PAC ID | 4789593831 |
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Medicare Enrollment ID | O20121217000075 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073861456 | NPI | - | NPPES |
10026364900 | Medicaid | NE |
Ainsworth Family Clinic, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 913 E. Zero St., Ainsworth, NE 69210 Phone: 402-387-1900 Fax: 402-387-0139 |