| First Care Medical, Pc Of Ravenna | |
|
104 W Seneca St Ravenna NE 68869-1363 | |
| (308) 236-7016 | |
| (308) 236-7027 |
| Full Name | First Care Medical, Pc Of Ravenna |
|---|---|
| Speciality | Clinic/center |
| Location | 104 W Seneca St, Ravenna, Nebraska |
| Authorized Official Name and Position | Aaron J Madsen (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 3082367016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Care Medical, Pc Of Ravenna 104 W Seneca St Po Box 125 Ravenna NE 68869-1363 Ph: (308) 236-7016 | First Care Medical, Pc Of Ravenna 104 W Seneca St Ravenna NE 68869-1363 Ph: (308) 236-7016 |
| NPI Number | 1215171624 |
|---|---|
| Provider Enumeration Date | 04/29/2009 |
| Last Update Date | 09/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215171624 | NPI | - | NPPES |
| 28D1100092 | Other | NE | CLIA ID # |
| NA1259 | Other | NE | MEDICARE PTAN |
| 10025764700 | Medicaid | NE | |
| DP1168 | Other | NE | RAILROAD MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Nebraska) | Primary |
Heartland Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 W Seneca St, Ravenna, NE 68869 Phone: 308-382-4297 | |
Ravenna Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 W Seneca St, Ravenna, NE 68869 Phone: 308-452-3203 Fax: 308-452-3795 |