Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 219 Main Street, Bancroft, Nebraska |
Authorized Official Name and Position | Brian Monsma (EXECUTIVE NETWORK DIRECTOR) |
Authorized Official Contact | 7122792925 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 328 Sioux City IA 51102-0328 Ph: (712) 279-5830 | 219 Main Street Bancroft NE 68004 Ph: (402) 648-7606 |
NPI Number | 1164466843 |
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Provider Enumeration Date | 06/15/2006 |
Last Update Date | 04/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164466843 | NPI | - | NPPES |