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1003 S Main St Ste 1 Emerson NE 68733-3613 | |
(402) 695-2453 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 1003 S Main St Ste 1, Emerson, Nebraska |
Authorized Official Name and Position | Laura J Gamble (CEO) |
Authorized Official Contact | 4023853083 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 100 Pender NE 68047-0100 Ph: (402) 385-4012 | 1003 S Main St Ste 1 Emerson NE 68733-3613 Ph: (402) 695-2453 |
NPI Number | 1285062943 |
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Provider Enumeration Date | 10/16/2013 |
Last Update Date | 10/17/2022 |
Medicare PECOS PAC ID | 3971412842 |
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Medicare Enrollment ID | O20140203000833 |
Identifier | Type | State | Issuer |
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1285062943 | NPI | - | NPPES |