| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 1210 2nd St, Friend, Nebraska |
| Authorized Official Name and Position | Julie Lacy (PRESIDENT & CEO) |
| Authorized Official Contact | 4028262102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 860873 Minneapolis MN 55486-0873 Ph: (402) 826-2102 | 1210 2nd St Friend NE 68359-1116 Ph: (402) 947-2021 |
| NPI Number | 1699217588 |
|---|---|
| Provider Enumeration Date | 11/09/2016 |
| Last Update Date | 11/25/2024 |
| Medicare PECOS PAC ID | 4385556216 |
|---|---|
| Medicare Enrollment ID | O20170425000321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699217588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Friend Medical Center, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1210 2nd St, Friend, NE 68359 Phone: 402-947-2021 Fax: 402-947-2127 | |
Friend Medical Center, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1210 2nd Street, Friend, NE 68359 Phone: 402-947-2021 Fax: 402-947-2127 |