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823 S Broadway St Ste 120 Decatur NE 68020-2000 | |
(402) 349-5592 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 823 S Broadway St Ste 120, Decatur, Nebraska |
Authorized Official Name and Position | Carl P Behne (CEO) |
Authorized Official Contact | 7124232311 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1600 Diamond St Onawa IA 51040-1548 Ph: (712) 423-2311 | 823 S Broadway St Ste 120 Decatur NE 68020-2000 Ph: (402) 349-5592 |
NPI Number | 1386836559 |
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Provider Enumeration Date | 08/13/2007 |
Last Update Date | 01/20/2022 |
Identifier | Type | State | Issuer |
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1386836559 | NPI | - | NPPES |
0119958 | Medicaid | IA |