| Fillmore County Medical Center P.c. | |
|
1840 F St Geneva NE 68361-2211 | |
| (402) 759-4485 | |
| (402) 759-4487 |
| Full Name | Fillmore County Medical Center P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1840 F St, Geneva, Nebraska |
| Authorized Official Name and Position | Jason L Bespalec (OWNER) |
| Authorized Official Contact | 4027594485 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fillmore County Medical Center P.c. 1840 F St Geneva NE 68361-2211 Ph: (402) 759-4485 | Fillmore County Medical Center P.c. 1840 F St Geneva NE 68361-2211 Ph: (402) 759-4485 |
| NPI Number | 1740201771 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 06/15/2022 |
| Medicare PECOS PAC ID | 4688638471 |
|---|---|
| Medicare Enrollment ID | O20041111001003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740201771 | NPI | - | NPPES |
| 10025197500 | Medicaid | NE | |
| 10025178000 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeffery R Hollis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144244138 PECOS PAC ID: 9739143546 Enrollment ID: I20041111001087 |
| Provider Name | Jason L Bespalec |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447271457 PECOS PAC ID: 5890759690 Enrollment ID: I20041111001113 |
| Provider Name | Alanna R Beckman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457648040 PECOS PAC ID: 5597995985 Enrollment ID: I20140923000506 |