Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 302 E 6th St, Curtis, Nebraska |
Authorized Official Name and Position | Troy A Bruntz (PRESIDENT & CEO) |
Authorized Official Contact | 3083448315 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 1328 Mc Cook NE 69001-1328 Ph: (308) 344-8303 | 302 E 6th St Curtis NE 69025-6102 Ph: (308) 367-4162 |
NPI Number | 1306874888 |
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Provider Enumeration Date | 06/30/2006 |
Last Update Date | 01/14/2019 |
Medicare PECOS PAC ID | 9133101629 |
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Medicare Enrollment ID | O20100622000685 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306874888 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |