| |
1100 W 2nd St Ste 100 Oshkosh NE 69154-6152 | |
(308) 772-3283 | |
(308) 772-3284 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1100 W 2nd St, Oshkosh, Nebraska |
Authorized Official Name and Position | Bradley C Howell (CEO) |
Authorized Official Contact | 3087723283 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1100 W 2nd St Oshkosh NE 69154-6117 Ph: (308) 772-3283 | 1100 W 2nd St Ste 100 Oshkosh NE 69154-6152 Ph: (308) 772-3283 |
NPI Number | 1972607380 |
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Provider Enumeration Date | 09/08/2006 |
Last Update Date | 03/15/2024 |
Medicare PECOS PAC ID | 5496714479 |
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Medicare Enrollment ID | O20041006000087 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972607380 | NPI | - | NPPES |
Provider Name | Holly F Dobrinski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588893317 PECOS PAC ID: 2860546686 Enrollment ID: I20090813000375 |
Provider Name | David P Cornutt |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1508928813 PECOS PAC ID: 5799870663 Enrollment ID: I20120622000644 |
Provider Name | Jason Reed - Lee Latowsky |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1902070444 PECOS PAC ID: 3678715711 Enrollment ID: I20140515000360 |
Provider Name | Crystal S Leach |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1184935355 PECOS PAC ID: 6204151467 Enrollment ID: I20150210001507 |
Provider Name | Rasha Riad |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205241627 PECOS PAC ID: 5193945129 Enrollment ID: I20170222000335 |
Provider Name | Haley M Hays |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346766748 PECOS PAC ID: 3274808068 Enrollment ID: I20171004001508 |
Provider Name | Darian Nordhues |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255979209 PECOS PAC ID: 7416383153 Enrollment ID: I20200129000196 |
Provider Name | Jacqueline M Stanzel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104465491 PECOS PAC ID: 4688001464 Enrollment ID: I20200218001280 |
Provider Name | Jamie R. Kuper |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326757345 PECOS PAC ID: 2062881238 Enrollment ID: I20221209001105 |
Provider Name | David W Fairbanks |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700989969 PECOS PAC ID: 8325028830 Enrollment ID: I20240911002343 |
Provider Name | Christopher J Rider |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780252320 PECOS PAC ID: 9830560523 Enrollment ID: I20240927001594 |
Banner Health Physicians West Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 W 2nd St, Oshkosh, NE 69154 Phone: 308-772-3283 Fax: 308-772-1038 | |
Main Street Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Main St, Oshkosh, NE 69154 Phone: 308-772-0164 |