Gretna Family Health Pc | |
11820 Standing Stone Dr Gretna NE 68028-7979 | |
(402) 332-3903 | |
(402) 391-3076 |
Full Name | Gretna Family Health Pc |
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Speciality | Family Medicine |
Location | 11820 Standing Stone Dr, Gretna, Nebraska |
Authorized Official Name and Position | William D Weeks (PRESIDENT) |
Authorized Official Contact | 4023323903 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gretna Family Health Pc 11820 Standing Stone Dr Gretna NE 68028-7979 Ph: (402) 332-3903 | Gretna Family Health Pc 11820 Standing Stone Dr Gretna NE 68028-7979 Ph: (402) 332-3903 |
NPI Number | 1861864498 |
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Provider Enumeration Date | 10/22/2015 |
Last Update Date | 10/03/2024 |
Medicare PECOS PAC ID | 3870899677 |
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Medicare Enrollment ID | O20160303002136 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861864498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | William D Weeks |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245237882 PECOS PAC ID: 0648266882 Enrollment ID: I20040428000459 |
Provider Name | Kathleen A Archer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861482762 PECOS PAC ID: 7618076845 Enrollment ID: I20070628000244 |
Provider Name | Amanda L Rauh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710667803 PECOS PAC ID: 0547622292 Enrollment ID: I20230814001179 |
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