Chimney Rock Medical Center | |
320 Main Street Bayard NE 69334-1500 | |
(308) 586-1717 | |
(308) 586-1263 |
Full Name | Chimney Rock Medical Center |
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Speciality | Family Medicine |
Location | 320 Main Street, Bayard, Nebraska |
Authorized Official Name and Position | Robin L. Stuart (CEO) |
Authorized Official Contact | 3082621616 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chimney Rock Medical Center Po Box H Bayard NE 69334-0682 Ph: (308) 586-1717 | Chimney Rock Medical Center 320 Main Street Bayard NE 69334-1500 Ph: (308) 586-1717 |
NPI Number | 1689891087 |
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Provider Enumeration Date | 04/19/2007 |
Last Update Date | 10/11/2014 |
Medicare PECOS PAC ID | 7719930437 |
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Medicare Enrollment ID | O20050222000993 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689891087 | NPI | - | NPPES |
03135 | Other | NE | BCBS OF NEBRASKA |
Provider Name | Joseph D Boyle |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1043277536 PECOS PAC ID: 0941200091 Enrollment ID: I20070130000722 |
Provider Name | John H Post |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790712800 PECOS PAC ID: 1254467210 Enrollment ID: I20100329000857 |
Provider Name | Cheryl A Laux |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558300640 PECOS PAC ID: 3678609633 Enrollment ID: I20100329000879 |
Provider Name | Richard Wilroy |
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Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1760672836 PECOS PAC ID: 9436202223 Enrollment ID: I20120806000098 |
Provider Name | Masumi K Wilroy |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1699942375 PECOS PAC ID: 2466609961 Enrollment ID: I20120905000382 |
Provider Name | Traci L Ellis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801227368 PECOS PAC ID: 5890918270 Enrollment ID: I20150130002186 |
Provider Name | Michal L Taylor |
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Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1134392269 PECOS PAC ID: 4981846060 Enrollment ID: I20150515000307 |
Provider Name | Eric A Kelts |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1861541005 PECOS PAC ID: 1456310473 Enrollment ID: I20150611001536 |
Provider Name | Amber E Malcolm |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568820900 PECOS PAC ID: 7810291614 Enrollment ID: I20160215000876 |
Provider Name | Sondra L Holloway |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235402256 PECOS PAC ID: 9335368828 Enrollment ID: I20170118002465 |
Provider Name | Mansoor Ahmad |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639583321 PECOS PAC ID: 2365747862 Enrollment ID: I20170815004231 |
Provider Name | Hope M Hansen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356837181 PECOS PAC ID: 0547519522 Enrollment ID: I20180824000357 |
Provider Name | Kendal C Laux |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902257629 PECOS PAC ID: 2062707375 Enrollment ID: I20190711002087 |
Provider Name | Saed Awadallah |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1487092128 PECOS PAC ID: 1456641695 Enrollment ID: I20190821002439 |
Provider Name | Melody J Leisy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821647611 PECOS PAC ID: 8325378144 Enrollment ID: I20190920003097 |
Provider Name | Kimberly R Perkins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730720533 PECOS PAC ID: 3971835117 Enrollment ID: I20191021003477 |
Provider Name | Amber J Dean |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720640204 PECOS PAC ID: 2365770401 Enrollment ID: I20200423000260 |
Provider Name | Jason A James |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1689737520 PECOS PAC ID: 9133217052 Enrollment ID: I20200727001823 |
Provider Name | Kevin W Johnson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942799002 PECOS PAC ID: 7911256029 Enrollment ID: I20210604002170 |
Provider Name | Caitlin N Nichols |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1427627579 PECOS PAC ID: 2769887678 Enrollment ID: I20210816001934 |
Provider Name | Charlotte S Lowery |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053093724 PECOS PAC ID: 6002269958 Enrollment ID: I20240127000602 |
Chimney Rock Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 320 Main St, Bayard, NE 69334 Phone: 308-586-1717 Fax: 308-586-1263 |