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204 Main Street Walthill NE 68067-0001 | |
(402) 837-5381 | |
(402) 837-5303 |
Full Name | |
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Speciality | Clinic/Center |
Location | 204 Main Street, Walthill, Nebraska |
Authorized Official Name and Position | Sarah Rowland (CEO) |
Authorized Official Contact | 4028375381 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 250 Macy NE 68039-0250 Ph: (402) 837-5381 | 204 Main Street Walthill NE 68067-0001 Ph: (402) 837-5381 |
NPI Number | 1639848633 |
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Provider Enumeration Date | 09/13/2021 |
Last Update Date | 01/07/2025 |
Medicare PECOS PAC ID | 4981664406 |
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Medicare Enrollment ID | O20211116002979 |
Identifier | Type | State | Issuer |
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1639848633 | NPI | - | NPPES |
========= | Medicaid | NE |