Lone Tree Medical Associates, P.c. | |
901 Broadway St Fullerton NE 68638-3151 | |
(308) 536-2458 | |
(308) 536-2459 |
Full Name | Lone Tree Medical Associates, P.c. |
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Speciality | Family Medicine |
Location | 901 Broadway St, Fullerton, Nebraska |
Authorized Official Name and Position | Steven Scot Mahnke (CORPORATE OFFICER) |
Authorized Official Contact | 3089463845 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lone Tree Medical Associates, P.c. 2510 18th Ave Central City NE 68826-2123 Ph: (308) 946-3845 | Lone Tree Medical Associates, P.c. 901 Broadway St Fullerton NE 68638-3151 Ph: (308) 536-2458 |
NPI Number | 1427158690 |
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Provider Enumeration Date | 09/25/2006 |
Last Update Date | 11/26/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427158690 | NPI | - | NPPES |
CD8193 | Other | RAILROAD MEDICARE | |
28D0886128 | Other | NE | CMS CLIA IDENTIFICATION # |
10025126000 | Medicaid | NE |
Fullerton Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 901 Broadway St, Fullerton, NE 68638 Phone: 308-536-2458 | |
Fullerton Public Schools Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 4th St, Fullerton, NE 68638 Phone: 308-536-2431 Fax: 308-536-2432 | |
Lone Tree Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Broadway St, Fullerton, NE 68638 Phone: 308-536-2458 | |
Loup Valley Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Broadway St, Fullerton, NE 68638 Phone: 402-993-2283 | |
Nance County Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 405 Broadway St, Fullerton, NE 68638 Phone: 308-536-2446 Fax: 308-536-2727 |