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402 Minor Ave Bertrand NE 68927-1234 | |
(308) 472-1472 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 402 Minor Ave, Bertrand, Nebraska |
Authorized Official Name and Position | Leslie Marsh (CEO) |
Authorized Official Contact | 3083248303 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 980 Lexington NE 68850-0980 Ph: (308) 324-5651 | 402 Minor Ave Bertrand NE 68927-1234 Ph: (308) 472-1472 |
NPI Number | 1093212169 |
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Provider Enumeration Date | 04/06/2018 |
Last Update Date | 04/06/2018 |
Medicare PECOS PAC ID | 2860415874 |
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Medicare Enrollment ID | O20180809004277 |
Identifier | Type | State | Issuer |
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1093212169 | NPI | - | NPPES |