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108 S Filmore St Bruning NE 68322-4078 | |
(402) 353-2055 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 108 S Filmore St, Bruning, Nebraska |
Authorized Official Name and Position | Brian Rokusek (CEO) |
Authorized Official Contact | 4027686041 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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120 Park Ave Hebron NE 68370-2019 Ph: (402) 768-7203 | 108 S Filmore St Bruning NE 68322-4078 Ph: (402) 353-2055 |
NPI Number | 1245216274 |
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Provider Enumeration Date | 12/21/2005 |
Last Update Date | 12/17/2021 |
Medicare PECOS PAC ID | 3577559145 |
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Medicare Enrollment ID | O20050222000522 |
Identifier | Type | State | Issuer |
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1245216274 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |