| Avera Medical Group Verdigre | |
|
401 James St Verdigre NE 68783-6149 | |
| (402) 668-2216 | |
| (402) 668-2310 |
| Full Name | Avera Medical Group Verdigre |
|---|---|
| Speciality | Clinic/Center |
| Location | 401 James St, Verdigre, Nebraska |
| Authorized Official Name and Position | Douglas Ekeren (CEO/PRESIDENT) |
| Authorized Official Contact | 6056688321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Medical Group Verdigre Po Box 86370 Sioux Falls SD 57118-6370 Ph: (605) 322-4933 | Avera Medical Group Verdigre 401 James St Verdigre NE 68783-6149 Ph: (402) 668-2216 |
| NPI Number | 1376847541 |
|---|---|
| Provider Enumeration Date | 01/03/2011 |
| Last Update Date | 04/24/2023 |
| Medicare PECOS PAC ID | 6103729066 |
|---|---|
| Medicare Enrollment ID | O20160819001353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376847541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Verdigre Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 James St, Verdigre, NE 68783 Phone: 402-668-2216 Fax: 402-668-2310 |