| Keystone Health Llc | |
|
508 Niobrara Ave Hemingford NE 69348-9703 | |
| (308) 487-5922 | |
| Not Available |
| Full Name | Keystone Health Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 508 Niobrara Ave, Hemingford, Nebraska |
| Authorized Official Name and Position | David Randolph (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3084875922 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Health Llc Po Box 95 Hemingford NE 69348-0095 Ph: () - | Keystone Health Llc 508 Niobrara Ave Hemingford NE 69348-9703 Ph: (308) 487-5922 |
| NPI Number | 1780360297 |
|---|---|
| Provider Enumeration Date | 06/27/2023 |
| Last Update Date | 10/17/2023 |
| Medicare PECOS PAC ID | 2466802863 |
|---|---|
| Medicare Enrollment ID | O20231227002940 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780360297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Janell A Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346256294 PECOS PAC ID: 6002995818 Enrollment ID: I20080506000124 |
Greater Nebraska Medical & Surgical Services - Hemingford Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 812 Laramie Ave, Hemingford, NE 69348 Phone: 308-487-3322 Fax: 308-487-3323 |