| Midtown Health Center, Inc. | |
|
1200 Providence Rd Wayne NE 68787-1212 | |
| (402) 371-8000 | |
| (402) 371-0971 |
| Full Name | Midtown Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1200 Providence Rd, Wayne, Nebraska |
| Authorized Official Name and Position | Melodee J Drenkow (SYSTEMS AUDITOR/CREDENTIALING) |
| Authorized Official Contact | 4023701064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midtown Health Center, Inc. 302 W Phillip Ave Norfolk NE 68701-5248 Ph: (402) 371-8000 | Midtown Health Center, Inc. 1200 Providence Rd Wayne NE 68787-1212 Ph: (402) 371-8000 |
| NPI Number | 1497308662 |
|---|---|
| Provider Enumeration Date | 07/17/2019 |
| Last Update Date | 07/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497308662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Providence Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Providence Rd, Wayne, NE 68787 Phone: 402-375-3800 Fax: 402-375-7610 | |
Wayne Mercy Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 E 14th St, Wayne, NE 68787 Phone: 402-375-2500 Fax: 402-375-2463 |