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211 N Engdahl Ave Oakland NE 68045-1431 | |
(402) 685-5116 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 211 N Engdahl Ave, Oakland, Nebraska |
Authorized Official Name and Position | Tyler Toline (PRESIDENT & CEO) |
Authorized Official Contact | 4023722404 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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430 N Monitor St West Point NE 68788-1595 Ph: (402) 372-6717 | 211 N Engdahl Ave Oakland NE 68045-1431 Ph: (402) 685-5116 |
NPI Number | 1699466052 |
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Provider Enumeration Date | 05/17/2023 |
Last Update Date | 06/16/2023 |
Medicare PECOS PAC ID | 4284624909 |
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Medicare Enrollment ID | O20230628002748 |
Identifier | Type | State | Issuer |
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1699466052 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |