| |
701 Cedar Ave Laurel NE 68745-1715 | |
(402) 256-3042 | |
(402) 256-3043 |
Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 701 Cedar Ave, Laurel, Nebraska |
Authorized Official Name and Position | Brian Monsma (EXECUTIVE NETWORK DIRECTOR) |
Authorized Official Contact | 7122792925 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 328 Sioux City IA 51102-0328 Ph: (712) 279-5830 | 701 Cedar Ave Laurel NE 68745-1715 Ph: (402) 256-3042 |
NPI Number | 1083652218 |
---|---|
Provider Enumeration Date | 06/02/2006 |
Last Update Date | 09/27/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083652218 | NPI | - | NPPES |
100252198-00 | Medicaid | NE |