| Fairbury Clinic, P.c. | |
|
825 22nd St Fairbury NE 68352-1299 | |
| (402) 729-3361 | |
| (402) 729-4010 |
| Full Name | Fairbury Clinic, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 825 22nd St, Fairbury, Nebraska |
| Authorized Official Name and Position | Jacki Moellenberndt (OFFICE MANAGER) |
| Authorized Official Contact | 4027293361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairbury Clinic, P.c. 825 22nd St Fairbury NE 68352-1299 Ph: (402) 729-3361 | Fairbury Clinic, P.c. 825 22nd St Fairbury NE 68352-1299 Ph: (402) 729-3361 |
| NPI Number | 1619948551 |
|---|---|
| Provider Enumeration Date | 01/30/2006 |
| Last Update Date | 10/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619948551 | NPI | - | NPPES |
| 100300280A | Medicaid | KS | |
| 100300280B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
Jefferson Community Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 22nd St, Fairbury, NE 68352 Phone: 402-729-3361 | |
Jefferson Community Health & Life Fairbury Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2200 H St, Fairbury, NE 68352 Phone: 402-729-3361 |