Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 119 S C St, Milford, Nebraska |
Authorized Official Name and Position | Gregory E. Jerger (CFO) |
Authorized Official Contact | 4026464628 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
250 N Columbia Ave Seward NE 68434-2248 Ph: (402) 643-4800 | 119 S C St Milford NE 68405-1802 Ph: (402) 761-3307 |
NPI Number | 1205905320 |
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Provider Enumeration Date | 11/06/2006 |
Last Update Date | 11/09/2023 |
Medicare PECOS PAC ID | 3274528989 |
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Medicare Enrollment ID | O20100209000304 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205905320 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |