| Fort Calhoun Clinic | |
|
4929 County Road P43 Fort Calhoun NE 68023-5066 | |
| (402) 468-4655 | |
| (402) 468-4633 |
| Full Name | Fort Calhoun Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 4929 County Road P43, Fort Calhoun, Nebraska |
| Authorized Official Name and Position | Amy Zimmer (CNE/VP PATIENT CARE SERVICES) |
| Authorized Official Contact | 4024262182 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Calhoun Clinic 4929 County Road P43 Fort Calhoun NE 68023-5066 Ph: (402) 468-4655 | Fort Calhoun Clinic 4929 County Road P43 Fort Calhoun NE 68023-5066 Ph: (402) 468-4655 |
| NPI Number | 1417015207 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 10/04/2023 |
| Medicare PECOS PAC ID | 0749190775 |
|---|---|
| Medicare Enrollment ID | O20100315000233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417015207 | NPI | - | NPPES |
| 07683 | Other | NE | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 79001 (Nebraska) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Td Nurse Practitioner Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4972 County Road 38, Fort Calhoun, NE 68023 Phone: 402-641-8822 |