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600 I St Pawnee City NE 68420-3001 | |
(402) 852-2311 | |
(402) 852-2170 |
Full Name | |
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Speciality | Clinic/Center |
Location | 600 I St, Pawnee City, Nebraska |
Authorized Official Name and Position | John Werner (ADMINISTRATOR) |
Authorized Official Contact | 4028522231 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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600 I St Pawnee City NE 68420-3001 Ph: (402) 852-2311 | 600 I St Pawnee City NE 68420-3001 Ph: (402) 852-2311 |
NPI Number | 1851345573 |
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Provider Enumeration Date | 05/19/2006 |
Last Update Date | 07/24/2024 |
Medicare PECOS PAC ID | 8729971270 |
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Medicare Enrollment ID | O20061016000407 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851345573 | NPI | - | NPPES |
086036 | Other | NE | MEDICARE GROUP NO. |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 590001 (Nebraska) | Primary |