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322 Pine St Clarkson NE 68629-4094 | |
(402) 892-3466 | |
(402) 892-3113 |
Full Name | |
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Speciality | Clinic/Center |
Location | 322 Pine St, Clarkson, Nebraska |
Authorized Official Name and Position | Evert Kuiper (CEO - CHI HEALTH) |
Authorized Official Contact | 4023434671 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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322 Pine St Clarkson NE 68629-4094 Ph: (402) 892-3466 | 322 Pine St Clarkson NE 68629-4094 Ph: (402) 892-3466 |
NPI Number | 1093890576 |
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Provider Enumeration Date | 10/25/2006 |
Last Update Date | 02/01/2022 |
Medicare PECOS PAC ID | 6406765965 |
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Medicare Enrollment ID | O20100513000534 |
Identifier | Type | State | Issuer |
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1093890576 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |