| Banner Health Clinic | |
|
2601 N Spruce St Ste A Ogallala NE 69153-2465 | |
| (308) 284-3645 | |
| (308) 284-2721 |
| Full Name | Banner Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2601 N Spruce St Ste A, Ogallala, Nebraska |
| Authorized Official Name and Position | Timothy Gullingsrud (CEO) |
| Authorized Official Contact | 3082847264 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Health Clinic 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Health Clinic 2601 N Spruce St Ste A Ogallala NE 69153-2465 Ph: (308) 284-3645 |
| NPI Number | 1366962706 |
|---|---|
| Provider Enumeration Date | 06/27/2017 |
| Last Update Date | 04/20/2023 |
| Medicare PECOS PAC ID | 3072517523 |
|---|---|
| Medicare Enrollment ID | O20171107002773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366962706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Perkins County Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 221 E 10th St, Ogallala, NE 69153 Phone: 308-284-8421 | |
Myc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 E 2nd St, Ogallala, NE 69153 Phone: 308-284-9839 Fax: 308-284-4120 | |
Banner Health Physicians West Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2601 N Spruce St, Ogallala, NE 69153 Phone: 308-284-3645 | |
Ncmc Specialty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 N Spruce St, Ogallala, NE 69153 Phone: 970-392-0900 | |
Ogallala Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 N Spruce St, Ogallala, NE 69153 Phone: 308-284-3645 | |
Ogallala Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 N Spruce St Ste A, Ogallala, NE 69153 Phone: 308-284-4011 Fax: 308-284-7212 |