Central Nebraska Medical Clinic Pc | |
145 Memorial Drive Broken Bow NE 68822 | |
(308) 872-2486 | |
(308) 872-2026 |
Full Name | Central Nebraska Medical Clinic Pc |
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Speciality | Family Medicine |
Location | 145 Memorial Drive, Broken Bow, Nebraska |
Authorized Official Name and Position | David A Minnick (OWNER PARTNER) |
Authorized Official Contact | 3088722486 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Central Nebraska Medical Clinic Pc Po Box 690 Broken Bow NE 68822 Ph: (308) 872-2486 | Central Nebraska Medical Clinic Pc 145 Memorial Drive Broken Bow NE 68822 Ph: (308) 872-2486 |
NPI Number | 1578668232 |
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Provider Enumeration Date | 09/14/2006 |
Last Update Date | 06/11/2008 |
Medicare PECOS PAC ID | 4486640265 |
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Medicare Enrollment ID | O20040426000695 |
Identifier | Type | State | Issuer |
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1578668232 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Julie A Lindstrom |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528098407 PECOS PAC ID: 6507852118 Enrollment ID: I20040421000245 |
Provider Name | Loren H Jacobsen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609937598 PECOS PAC ID: 4385635424 Enrollment ID: I20040519000448 |
Provider Name | Robert R Kahnk |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366544033 PECOS PAC ID: 7113981408 Enrollment ID: I20041116001006 |
Provider Name | David A Minnick |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891897997 PECOS PAC ID: 1153385448 Enrollment ID: I20041116001058 |
Provider Name | Brett R Lindau |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114153384 PECOS PAC ID: 8729243399 Enrollment ID: I20120705000095 |
Provider Name | Laci Kai Scott |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033657820 PECOS PAC ID: 0547543829 Enrollment ID: I20170210001934 |
Provider Name | Katie L Thompson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295199792 PECOS PAC ID: 0143514554 Enrollment ID: I20190906002061 |
Broken Bow Public Schools County Of Custer School District 25 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 323 N 7th Ave, Broken Bow, NE 68822 Phone: 308-872-6821 Fax: 308-872-2751 | |
Broken Bow Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 South F Street, Broken Bow, NE 68822 Phone: 308-872-6456 Fax: 308-872-6040 | |
Quality Senior Villages Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 Arapahoe Lane, Broken Bow, NE 68822 Phone: 308-872-6387 Fax: 308-872-8399 |