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500 E Decatur St West Point NE 68788-1566 | |
(402) 372-2477 | |
(402) 372-6770 |
Full Name | |
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Speciality | Clinic/Center |
Location | 500 E Decatur St, West Point, Nebraska |
Authorized Official Name and Position | Tyler J Toline (PRESIDENT & CEO) |
Authorized Official Contact | 4023722404 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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430 N Monitor St West Point NE 68788-1595 Ph: (402) 372-6717 | 500 E Decatur St West Point NE 68788-1566 Ph: (402) 372-2477 |
NPI Number | 1003923079 |
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Provider Enumeration Date | 08/24/2006 |
Last Update Date | 12/02/2022 |
Medicare PECOS PAC ID | 4284624909 |
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Medicare Enrollment ID | O20050208000377 |
Identifier | Type | State | Issuer |
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1003923079 | NPI | - | NPPES |
10025189800 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |