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121 15th Ave Franklin NE 68939-1043 | |
(308) 425-6221 | |
(308) 425-3164 |
Full Name | |
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Speciality | Clinic/Center |
Location | 121 15th Ave, Franklin, Nebraska |
Authorized Official Name and Position | Theresa Rizzo (ADMINISTRATOR/CEO) |
Authorized Official Contact | 3084256221 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1406 Q St Franklin NE 68939-1073 Ph: (308) 425-6221 | 121 15th Ave Franklin NE 68939-1043 Ph: (308) 425-6221 |
NPI Number | 1164465829 |
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Provider Enumeration Date | 06/13/2006 |
Last Update Date | 06/17/2019 |
Medicare PECOS PAC ID | 9537055975 |
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Medicare Enrollment ID | O20050812000854 |
Identifier | Type | State | Issuer |
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1164465829 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |