Full Name | |
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Speciality | Clinic/Center |
Location | 202 Smith Ave, Elwood, 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 | 202 Smith Ave Elwood NE 68937-5247 Ph: (308) 785-8175 |
NPI Number | 1407211220 |
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Provider Enumeration Date | 12/21/2015 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 2860415874 |
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Medicare Enrollment ID | O20160727001359 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407211220 | NPI | - | NPPES |