| Fullerton Medical Clinic | |
|
901 Broadway St Fullerton NE 68638-3151 | |
| (308) 536-2458 | |
| Not Available |
| Full Name | Fullerton Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 901 Broadway St, Fullerton, Nebraska |
| Authorized Official Name and Position | Jodi S Mohr (CEO) |
| Authorized Official Contact | 4029463015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fullerton Medical Clinic Po Box 860874 Minneapolis MN 55486-0874 Ph: (308) 946-3015 | Fullerton Medical Clinic 901 Broadway St Fullerton NE 68638-3151 Ph: (308) 536-2458 |
| NPI Number | 1124559901 |
|---|---|
| Provider Enumeration Date | 03/23/2017 |
| Last Update Date | 07/24/2024 |
| Medicare PECOS PAC ID | 9537445812 |
|---|---|
| Medicare Enrollment ID | O20170424000272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124559901 | NPI | - | NPPES |
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