Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 116 N 2nd St, Elgin, Nebraska |
Authorized Official Name and Position | Caleb K Poore (CEO) |
Authorized Official Contact | 4023953213 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 151 Albion NE 68620-0151 Ph: (402) 395-2191 | 116 N 2nd St Elgin NE 68636-4425 Ph: (402) 843-5910 |
NPI Number | 1245699958 |
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Provider Enumeration Date | 02/23/2016 |
Last Update Date | 04/18/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245699958 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |