| Costa Family Practice | |
|
514 9th Street Gothenburg NE 69138-1917 | |
| (308) 537-2222 | |
| (308) 537-2960 |
| Full Name | Costa Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 514 9th Street, Gothenburg, Nebraska |
| Authorized Official Name and Position | Christopher P Costa (OWNER) |
| Authorized Official Contact | 3085372222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Costa Family Practice 514 9th Street Gothenburg NE 69138-1917 Ph: (308) 537-2222 | Costa Family Practice 514 9th Street Gothenburg NE 69138-1917 Ph: (308) 537-2222 |
| NPI Number | 1194803353 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 10/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194803353 | NPI | - | NPPES |
| 10025207300 | Other | NE | RURAL HEALTH MEDICAID |
| 283850 | Other | RIVERBEND | |
| 10025207400 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20028 (Nebraska) | Primary |
David Hult, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 20th Street, Gothenburg, NE 69138 Phone: 308-537-7131 Fax: 308-537-7310 | |
Carol Shackleton, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 20th Street, Gothenburg, NE 69138 Phone: 308-537-7131 Fax: 308-537-7310 | |
Gothenburg Medical Arts Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 10th St, Gothenburg, NE 69138 Phone: 308-537-3673 Fax: 308-537-3675 | |
Gothenburg Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 918 20th St, Gothenburg, NE 69138 Phone: 308-537-4066 Fax: 308-537-4038 | |
Gothenburg Medical Arts Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 10th St, Gothenburg, NE 69138 Phone: 308-537-3673 Fax: 308-537-3675 | |
Gothenburg Family Practice Rural Health Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 20th Street, Gothenburg, NE 69138 Phone: 308-537-7131 Fax: 308-537-7310 |