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619 10th St Gothenburg NE 69138-2063 | |
(308) 537-3673 | |
(308) 537-3675 |
Full Name | |
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Speciality | Family Medicine |
Location | 619 10th St, Gothenburg, Nebraska |
Authorized Official Name and Position | Craig D Bartruff (OWNER) |
Authorized Official Contact | 3085373673 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 389 Gothenburg NE 69138-0389 Ph: (308) 537-3673 | 619 10th St Gothenburg NE 69138-2063 Ph: (308) 537-3673 |
NPI Number | 1467643601 |
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Provider Enumeration Date | 08/05/2007 |
Last Update Date | 03/04/2014 |
Identifier | Type | State | Issuer |
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1467643601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
David Hult, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 20th Street, Gothenburg, NE 69138 Phone: 308-537-7131 Fax: 308-537-7310 | |
Carol Shackleton, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 20th Street, Gothenburg, NE 69138 Phone: 308-537-7131 Fax: 308-537-7310 | |
Gothenburg Family Practice Rural Health Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 20th Street, Gothenburg, NE 69138 Phone: 308-537-7131 Fax: 308-537-7310 |