| Jehovah Rapha Medical Care Pc | |
|
1101 S 70th St Ste 203 Lincoln NE 68510-4293 | |
| (402) 937-1101 | |
| (402) 937-1151 |
| Full Name | Jehovah Rapha Medical Care Pc |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 1101 S 70th St Ste 203, Lincoln, Nebraska |
| Authorized Official Name and Position | Alecia S Lovegrove (PRESIDENT) |
| Authorized Official Contact | 4029371101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jehovah Rapha Medical Care Pc 1101 S 70th St Ste 203 Lincoln NE 68510-4293 Ph: (402) 937-1101 | Jehovah Rapha Medical Care Pc 1101 S 70th St Ste 203 Lincoln NE 68510-4293 Ph: (402) 937-1101 |
| NPI Number | 1114664463 |
|---|---|
| Provider Enumeration Date | 05/18/2022 |
| Last Update Date | 04/29/2024 |
| Medicare PECOS PAC ID | 7315322278 |
|---|---|
| Medicare Enrollment ID | O20220914001057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114664463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Primary |
| Provider Name | Alecia S Lovegrove |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932218641 PECOS PAC ID: 4284708298 Enrollment ID: I20080808000133 |
| Provider Name | Jenna L Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891080362 PECOS PAC ID: 9830320670 Enrollment ID: I20140814001188 |
| Provider Name | Adrienne Titus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780179127 PECOS PAC ID: 4880947100 Enrollment ID: I20181101003299 |
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