| |
104 North Broadway Street Arnold NE 69120-6351 | |
(308) 848-3259 | |
(308) 848-3250 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 104 North Broadway Street, Arnold, Nebraska |
Authorized Official Name and Position | Brett D. Eggleston (CEO) |
Authorized Official Contact | 3088362228 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 100 Callaway NE 68825-0100 Ph: (308) 836-2228 | 104 North Broadway Street Arnold NE 69120-6351 Ph: (308) 848-3259 |
NPI Number | 1073626370 |
---|---|
Provider Enumeration Date | 08/17/2006 |
Last Update Date | 01/16/2019 |
Medicare PECOS PAC ID | 0143208983 |
---|---|
Medicare Enrollment ID | O20040720001039 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073626370 | NPI | - | NPPES |
10025136200 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |