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103 S Thayer St Spencer NE 68777-9784 | |
(402) 589-1328 | |
Not Available |
Full Name | |
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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 |
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Po Box 270 Oneill NE 68763-0270 Ph: (402) 336-2900 | 103 S Thayer St Spencer NE 68777-9784 Ph: (402) 589-1328 |
NPI Number | 1629344692 |
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Provider Enumeration Date | 03/23/2012 |
Last Update Date | 05/01/2012 |
Identifier | Type | State | Issuer |
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1629344692 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |