Banner Health Physicians West Llc | |
1100 W 2nd St Oshkosh NE 69154-6152 | |
(308) 772-3283 | |
(308) 772-1038 |
Full Name | Banner Health Physicians West Llc |
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Speciality | Clinic/center - Multi-specialty |
Location | 1100 W 2nd St, Oshkosh, Nebraska |
Authorized Official Name and Position | Dennis Laraway (CFO) |
Authorized Official Contact | 6027474000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Banner Health Physicians West Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Health Physicians West Llc 1100 W 2nd St Oshkosh NE 69154-6152 Ph: (308) 772-3283 |
NPI Number | 1689928467 |
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Provider Enumeration Date | 11/01/2012 |
Last Update Date | 02/11/2022 |
Identifier | Type | State | Issuer |
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1689928467 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Regional West Garden County Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 W 2nd St, Ste 100, Oshkosh, NE 69154 Phone: 308-772-3283 Fax: 308-772-3284 | |
Garden County Health Services Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 W 2nd St, Ste 100, Oshkosh, NE 69154 Phone: 308-772-3283 Fax: 308-772-3284 |