Elkhorn Valley Family Medicine, Pc | |
304 E Douglas St Oneill NE 68763-1830 | |
(402) 336-4222 | |
(402) 336-4228 |
Full Name | Elkhorn Valley Family Medicine, Pc |
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Speciality | Clinic/Center |
Location | 304 E Douglas St, Oneill, Nebraska |
Authorized Official Name and Position | Dave Fuchser (OFFICE MANAGER) |
Authorized Official Contact | 4023364222 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elkhorn Valley Family Medicine, Pc 304 E Douglas St Oneill NE 68763-1830 Ph: (402) 336-4222 | Elkhorn Valley Family Medicine, Pc 304 E Douglas St Oneill NE 68763-1830 Ph: (402) 336-4222 |
NPI Number | 1598767287 |
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Provider Enumeration Date | 08/11/2005 |
Last Update Date | 12/11/2007 |
Medicare PECOS PAC ID | 8123001070 |
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Medicare Enrollment ID | O20040610001534 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598767287 | NPI | - | NPPES |
10025080400 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Peter Donald Lueninghoener |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609878610 PECOS PAC ID: 1658353719 Enrollment ID: I20040617000523 |
Provider Name | Jenna M Kaup |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508120791 PECOS PAC ID: 2163673609 Enrollment ID: I20121113000351 |
Provider Name | Heather Ann Pardun |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528404381 PECOS PAC ID: 9133369028 Enrollment ID: I20130718000017 |
Provider Name | Kacindra J Kopf |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477991784 PECOS PAC ID: 8224278171 Enrollment ID: I20130718000373 |
Provider Name | Bree S Almgren |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962758151 PECOS PAC ID: 6800044884 Enrollment ID: I20140715000468 |
Provider Name | Sawyer Guy Fenske |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1396376638 PECOS PAC ID: 2365872587 Enrollment ID: I20200430000498 |
Midtown Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 422 E Douglas St, Oneill, NE 68763 Phone: 402-371-8000 Fax: 402-371-0971 | |