Avera Medical Group Butte | |
730 Wilson St Butte NE 68722-0319 | |
(402) 775-2174 | |
Not Available |
Full Name | Avera Medical Group Butte |
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Speciality | Clinic/Center |
Location | 730 Wilson St, Butte, Nebraska |
Authorized Official Name and Position | Julie N Norton (VICE PRESIDENT OF FINANCE) |
Authorized Official Contact | 6053226375 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Avera Medical Group Butte Po Box 319 730 Wilson St Butte NE 68722-0319 Ph: (402) 775-2174 | Avera Medical Group Butte 730 Wilson St Butte NE 68722-0319 Ph: (402) 775-2174 |
NPI Number | 1568492551 |
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Provider Enumeration Date | 07/04/2006 |
Last Update Date | 04/25/2011 |
Medicare PECOS PAC ID | 0345157103 |
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Medicare Enrollment ID | O20100209000217 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568492551 | NPI | - | NPPES |
5300213 | Medicaid | SD | |
0000028 | Other | SD | WELLMARK BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |