Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 315 N C St, Edgar, Nebraska |
Authorized Official Name and Position | Eric A Barber (CEO) |
Authorized Official Contact | 4024615108 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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715 N Saint Joseph Ave Hastings NE 68901-4497 Ph: (402) 463-4521 | 315 N C St Edgar NE 68935-3194 Ph: (402) 224-3344 |
NPI Number | 1538263876 |
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Provider Enumeration Date | 09/08/2006 |
Last Update Date | 09/12/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538263876 | NPI | - | NPPES |
4058 | Other | NE | STATE LICENSE-HHS |