Main Street Medical | |
310 Main St Oshkosh NE 69154-6112 | |
(308) 772-0164 | |
Not Available |
Full Name | Main Street Medical |
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Speciality | Family Medicine |
Location | 310 Main St, Oshkosh, Nebraska |
Authorized Official Name and Position | Laurie Lea Soper (APRN-C) |
Authorized Official Contact | 3082208082 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Main Street Medical 310 Main St Oshkosh NE 69154-6112 Ph: (308) 772-0164 | Main Street Medical 310 Main St Oshkosh NE 69154-6112 Ph: (308) 772-0164 |
NPI Number | 1831906908 |
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Provider Enumeration Date | 12/12/2024 |
Last Update Date | 12/19/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831906908 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Banner Health Physicians West Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 W 2nd St, Oshkosh, NE 69154 Phone: 308-772-3283 Fax: 308-772-1038 | |