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109 W Oconnor Ave Greeley NE 68842 | |
(308) 754-4421 | |
(308) 754-2303 |
Full Name | |
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Speciality | Family Medicine |
Location | 109 W Oconnor Ave, Greeley, Nebraska |
Authorized Official Name and Position | Morgan Meyer (CFO) |
Authorized Official Contact | 3087544421 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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P.o. Box 406 1113 Sherman St Saint Paul NE 68873-0406 Ph: (308) 754-4421 | 109 W Oconnor Ave Greeley NE 68842 Ph: (308) 754-4421 |
NPI Number | 1396040259 |
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Provider Enumeration Date | 01/24/2011 |
Last Update Date | 09/01/2020 |
Medicare PECOS PAC ID | 5698775849 |
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Medicare Enrollment ID | O20110317000622 |
Identifier | Type | State | Issuer |
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1396040259 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |