Community Physicians Clinic Wymore | |
100 N 7th St Wymore NE 68466-1704 | |
(402) 645-3733 | |
(402) 645-3127 |
Full Name | Community Physicians Clinic Wymore |
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Speciality | Clinic/Center |
Location | 100 N 7th St, Wymore, Nebraska |
Authorized Official Name and Position | Therese M Landoll (CFO) |
Authorized Official Contact | 7855622311 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Community Physicians Clinic Wymore 100 N 7th St Wymore NE 68466-1704 Ph: (402) 645-3733 | Community Physicians Clinic Wymore 100 N 7th St Wymore NE 68466-1704 Ph: (402) 645-3733 |
NPI Number | 1235163486 |
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Provider Enumeration Date | 07/11/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 6608763503 |
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Medicare Enrollment ID | O20050207000032 |
Identifier | Type | State | Issuer |
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1235163486 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Wymore Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 116 E H St, Wymore, NE 68466 Phone: 402-645-3310 Fax: 402-645-3397 |