| Avera Medical Group Spencer | |
|
103 S Thayer St Spencer NE 68777-9784 | |
| (402) 589-1328 | |
| Not Available |
| Full Name | Avera Medical Group Spencer |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 103 S Thayer St, Spencer, Nebraska |
| Authorized Official Name and Position | Ronald J. Cork (PRESIDENT/CEO) |
| Authorized Official Contact | 4023362611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Medical Group Spencer Po Box 270 Oneill NE 68763-0270 Ph: (402) 336-2900 | Avera Medical Group Spencer 103 S Thayer St Spencer NE 68777-9784 Ph: (402) 589-1328 |
| NPI Number | 1629344692 |
|---|---|
| Provider Enumeration Date | 03/23/2012 |
| Last Update Date | 05/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629344692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Niobrara Valley Hospital Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 West Evans St, Spencer, NE 68777 Phone: 402-589-1580 |