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303 Broadway St Fullerton NE 68638-3152 | |
(402) 993-2283 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 303 Broadway St, Fullerton, Nebraska |
Authorized Official Name and Position | Amanda Roebuck (CEO) |
Authorized Official Contact | 4029934583 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 310 Genoa NE 68640-0310 Ph: (402) 993-2283 | 303 Broadway St Fullerton NE 68638-3152 Ph: (402) 993-2283 |
NPI Number | 1386157071 |
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Provider Enumeration Date | 11/16/2017 |
Last Update Date | 01/23/2020 |
Identifier | Type | State | Issuer |
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1386157071 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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 Associates, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Broadway St, Fullerton, NE 68638 Phone: 308-536-2458 Fax: 308-536-2459 | |