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111 S Main St Hyannis NE 69350-9700 | |
(308) 458-2436 | |
(308) 458-2438 |
Full Name | |
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Speciality | Clinic/Center |
Location | 111 S Main St, Hyannis, 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 |
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Po Box 810 Alliance NE 69301-0810 Ph: (308) 762-6660 | 111 S Main St Hyannis NE 69350-9700 Ph: (308) 458-2436 |
NPI Number | 1083782767 |
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Provider Enumeration Date | 12/01/2006 |
Last Update Date | 12/12/2011 |
Medicare PECOS PAC ID | 9638089584 |
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Medicare Enrollment ID | O20030708000041 |
Identifier | Type | State | Issuer |
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1083782767 | NPI | - | NPPES |
10025169000 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |