| Greater Nebraska Medical & Surgical Services - Alliance | |
|
2091 Box Butte Ave Alliance NE 69301-4452 | |
| (308) 762-7244 | |
| (308) 762-6657 |
| Full Name | Greater Nebraska Medical & Surgical Services - Alliance |
|---|---|
| Speciality | Clinic/Center |
| Location | 2091 Box Butte Ave, Alliance, Nebraska |
| Authorized Official Name and Position | Daniel W Griess (CEO) |
| Authorized Official Contact | 3087626660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Nebraska Medical & Surgical Services - Alliance Po Box 810 Alliance NE 69301-0810 Ph: (308) 762-6660 | Greater Nebraska Medical & Surgical Services - Alliance 2091 Box Butte Ave Alliance NE 69301-4452 Ph: (308) 762-7244 |
| NPI Number | 1871652453 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 11/11/2011 |
| Medicare PECOS PAC ID | 9638089584 |
|---|---|
| Medicare Enrollment ID | O20031218000378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871652453 | NPI | - | NPPES |
| 10025695200 | Medicaid | NE | |
| 10025028100 | Medicaid | NE | |
| 10025695300 | Medicaid | NE | |
| 10025695400 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Charles Frisch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871652669 PECOS PAC ID: 5395719660 Enrollment ID: I20040823000885 |
| Provider Name | Janelle Denise Reifschneider |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568553543 PECOS PAC ID: 6800863713 Enrollment ID: I20040910001089 |
| Provider Name | Terri L Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346306941 PECOS PAC ID: 3476554460 Enrollment ID: I20070117000416 |
| Provider Name | Mark Y Chu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528036423 PECOS PAC ID: 2860468741 Enrollment ID: I20070309000517 |
| Provider Name | Steve C Boyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730104886 PECOS PAC ID: 7911087374 Enrollment ID: I20080110000428 |
| Provider Name | Bruce D Forney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225250053 PECOS PAC ID: 4981514833 Enrollment ID: I20080424000688 |
| Provider Name | Robert C Burgess |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1013961978 PECOS PAC ID: 5890702146 Enrollment ID: I20101014000098 |
| Provider Name | Daniel Kenneth Cable Williams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174511711 PECOS PAC ID: 6709814593 Enrollment ID: I20120807000722 |
| Provider Name | Jeffrey W Cloud |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518179126 PECOS PAC ID: 4981755170 Enrollment ID: I20130321000157 |
| Provider Name | Bryan Craig Bomberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437262581 PECOS PAC ID: 9234118415 Enrollment ID: I20131009002007 |
| Provider Name | Jay W White |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023017167 PECOS PAC ID: 3577546902 Enrollment ID: I20131021000389 |
| Provider Name | Susan M Reading Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831421221 PECOS PAC ID: 1951520790 Enrollment ID: I20140910000536 |
| Provider Name | Sally B Bryner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154723583 PECOS PAC ID: 6204158801 Enrollment ID: I20141210001804 |
| Provider Name | Abigail N Vogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497161681 PECOS PAC ID: 4981822848 Enrollment ID: I20150630001512 |
| Provider Name | Rita K Vaughn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457426975 PECOS PAC ID: 0648167312 Enrollment ID: I20150716001334 |
| Provider Name | Stuart H Myers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407059546 PECOS PAC ID: 3375779200 Enrollment ID: I20150903000682 |
| Provider Name | Jessica A Ott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780948778 PECOS PAC ID: 9032426069 Enrollment ID: I20150923001694 |
| Provider Name | John David Ray |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346228889 PECOS PAC ID: 1456310499 Enrollment ID: I20151030000974 |
| Provider Name | Timothy A Richey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174853725 PECOS PAC ID: 1052440377 Enrollment ID: I20160606001662 |
| Provider Name | Kristin M Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720431646 PECOS PAC ID: 3577842590 Enrollment ID: I20161115002690 |
| Provider Name | Karen Wenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336485713 PECOS PAC ID: 5092944033 Enrollment ID: I20170126000477 |
| Provider Name | Matthew D Pouliot |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154584266 PECOS PAC ID: 4486684164 Enrollment ID: I20180626000391 |
| Provider Name | Dwaine V Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326434630 PECOS PAC ID: 5496068678 Enrollment ID: I20190107002936 |
| Provider Name | Molly Hartman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063978492 PECOS PAC ID: 0244570018 Enrollment ID: I20190314001983 |
| Provider Name | Derek C Shafer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568810711 PECOS PAC ID: 1850686932 Enrollment ID: I20190627000728 |
| Provider Name | Patrick B Johnston |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073748653 PECOS PAC ID: 0345533840 Enrollment ID: I20190703000666 |
| Provider Name | Rachelle Eyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609429307 PECOS PAC ID: 7719218569 Enrollment ID: I20191009003278 |
| Provider Name | Kailee A Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386291177 PECOS PAC ID: 5799017638 Enrollment ID: I20191028000148 |
| Provider Name | Brian D Shelmadine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801281092 PECOS PAC ID: 8628309630 Enrollment ID: I20201204000502 |
| Provider Name | Susan M Hoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891389763 PECOS PAC ID: 9739595166 Enrollment ID: I20210310001647 |
| Provider Name | Derek K Zukosky |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912942038 PECOS PAC ID: 0547224404 Enrollment ID: I20210908000294 |
| Provider Name | Tracie Parsell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629588421 PECOS PAC ID: 1658638457 Enrollment ID: I20220524002872 |
| Provider Name | Adam Wilson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467695072 PECOS PAC ID: 1254562218 Enrollment ID: I20220609000857 |
| Provider Name | Amber L Schulze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285358069 PECOS PAC ID: 2668841669 Enrollment ID: I20221214001698 |
| Provider Name | Tiffany Gies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801508494 PECOS PAC ID: 5092187567 Enrollment ID: I20230209000732 |
| Provider Name | Sarah Troester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194404558 PECOS PAC ID: 6103280250 Enrollment ID: I20230908000335 |
Alliance Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2091 Box Butte Ave Ste 500, Alliance, NE 69301 Phone: 308-762-2534 Fax: 308-762-2764 | |
50 Plus Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 E 3rd St, Alliance, NE 69301 Phone: 308-629-1600 Fax: 308-629-1616 | |
Greater Nebraska Medical & Surgical Services - Alliance Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2091 Box Butte Ave, Suite 700, Alliance, NE 69301 Phone: 308-762-7244 Fax: 308-762-6657 | |
Alliance Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2091 Box Butte Ave, Suite 500, Alliance, NE 69301 Phone: 308-762-2534 Fax: 308-762-2764 | |
Alliance Medical Center P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2307 Box Butte Ave, Alliance, NE 69301 Phone: 308-762-3741 Fax: 308-762-7743 | |
W.v. Fattig M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 723 Flack Ave, Alliance, NE 69301 Phone: 308-225-4498 Fax: 308-646-0341 |