Cozad Community Medical Clinic | |
1803 Papio Ln Cozad NE 69130-1138 | |
(308) 784-3535 | |
(308) 784-3534 |
Full Name | Cozad Community Medical Clinic |
---|---|
Speciality | Clinic/Center |
Location | 1803 Papio Ln, Cozad, Nebraska |
Authorized Official Name and Position | Robert J Dyer (CEO) |
Authorized Official Contact | 3087842261 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Cozad Community Medical Clinic Po Box 86 Cozad NE 69130-0086 Ph: (308) 784-3535 | Cozad Community Medical Clinic 1803 Papio Ln Cozad NE 69130-1138 Ph: (308) 784-3535 |
NPI Number | 1528159308 |
---|---|
Provider Enumeration Date | 09/27/2006 |
Last Update Date | 07/08/2022 |
Medicare PECOS PAC ID | 6507810389 |
---|---|
Medicare Enrollment ID | O20050303001046 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528159308 | NPI | - | NPPES |
Provider Name | Kristine Walahoski |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1831255637 PECOS PAC ID: 4385537505 Enrollment ID: I20040203000455 |
Provider Name | Patrick G Wetovick |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588680953 PECOS PAC ID: 5092856302 Enrollment ID: I20100108000671 |
Provider Name | Jack Richard Cole |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679593933 PECOS PAC ID: 5799827598 Enrollment ID: I20100115000856 |
Provider Name | Stephen G Nemeth |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972529337 PECOS PAC ID: 6507908308 Enrollment ID: I20100115000867 |
Provider Name | Jeffery Todd Merz |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1750465548 PECOS PAC ID: 7618079120 Enrollment ID: I20100721000290 |
Provider Name | Kristi Denise Follmer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225556525 PECOS PAC ID: 7214296938 Enrollment ID: I20180125001084 |
Provider Name | Brian W Cronstrom |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285131375 PECOS PAC ID: 5890059026 Enrollment ID: I20180515003075 |
Provider Name | Michelle Lynn Rose |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770963902 PECOS PAC ID: 7416264908 Enrollment ID: I20180820001478 |
Provider Name | Joseph D Debban |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811534191 PECOS PAC ID: 0749618460 Enrollment ID: I20200311002470 |
Provider Name | Amanda J. Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144986126 PECOS PAC ID: 2961895222 Enrollment ID: I20220209000433 |
Provider Name | Sharon L Hendricks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316901390 PECOS PAC ID: 2062492606 Enrollment ID: I20231024003133 |