| Minden Medical Clinic | |
|
727 E 1st St Minden NE 68959-1705 | |
| (308) 832-3400 | |
| (308) 832-3414 |
| Full Name | Minden Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 727 E 1st St, Minden, Nebraska |
| Authorized Official Name and Position | Luke D Poore (CEO) |
| Authorized Official Contact | 3088323400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minden Medical Clinic 727 E 1st St Minden NE 68959-1705 Ph: (308) 832-3400 | Minden Medical Clinic 727 E 1st St Minden NE 68959-1705 Ph: (308) 832-3400 |
| NPI Number | 1205977873 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 10/09/2023 |
| Medicare PECOS PAC ID | 8820900780 |
|---|---|
| Medicare Enrollment ID | O20040223001142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205977873 | NPI | - | NPPES |
| Provider Name | Diane K Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487694089 PECOS PAC ID: 8729974613 Enrollment ID: I20040226000737 |
| Provider Name | Douglas J Althouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447283601 PECOS PAC ID: 5092778001 Enrollment ID: I20041110000994 |
| Provider Name | Renee Ann Grams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659304814 PECOS PAC ID: 1355363458 Enrollment ID: I20060103000341 |
| Provider Name | Brandon M Jahnke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790893931 PECOS PAC ID: 4880662238 Enrollment ID: I20070226000315 |
| Provider Name | Pravardhan R Birthi |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1013161082 PECOS PAC ID: 4385887926 Enrollment ID: I20130829000071 |
| Provider Name | Shannon D Kuehn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124460258 PECOS PAC ID: 2062656929 Enrollment ID: I20130913000544 |
| Provider Name | Tiffany S Weeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588070163 PECOS PAC ID: 3577789981 Enrollment ID: I20140721001493 |
| Provider Name | John A Craig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477999423 PECOS PAC ID: 5698907848 Enrollment ID: I20140904001655 |
| Provider Name | Sally J Farquhar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861809865 PECOS PAC ID: 5092032540 Enrollment ID: I20150323001670 |
| Provider Name | Caleb W Schroeder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073837639 PECOS PAC ID: 8527218098 Enrollment ID: I20150917002830 |
| Provider Name | Jeffrey A Schopp |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891888608 PECOS PAC ID: 0840213138 Enrollment ID: I20160408001088 |
| Provider Name | Douglas P Wulf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700315660 PECOS PAC ID: 9133499114 Enrollment ID: I20170725000371 |
| Provider Name | Jonathan P Blecha |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841605102 PECOS PAC ID: 6204054521 Enrollment ID: I20190626000451 |
| Provider Name | Cade Gregory Craig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639605546 PECOS PAC ID: 3072886134 Enrollment ID: I20200428002030 |
| Provider Name | Susan M Briseno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497396923 PECOS PAC ID: 6103243381 Enrollment ID: I20200902001976 |
| Provider Name | Ruth M Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760019467 PECOS PAC ID: 2769801026 Enrollment ID: I20201006001548 |
| Provider Name | Jordan A Kohtz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780306720 PECOS PAC ID: 7012384423 Enrollment ID: I20221027001688 |
| Provider Name | Jennifer L Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417650250 PECOS PAC ID: 5092175448 Enrollment ID: I20230717001758 |
| Provider Name | Shelby L Liesemeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730702994 PECOS PAC ID: 1052739331 Enrollment ID: I20230919000136 |
Minden Family Practice Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 N Minden Ave, Minden, NE 68959 Phone: 308-832-0330 | |
Minden Family Practice Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 North Minden Avenue, Minden, NE 68959 Phone: 308-832-0330 Fax: 308-832-0306 | |
Kearney Co Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 727 E 1st St, Minden, NE 68959 Phone: 308-832-3400 Fax: 308-832-3414 |