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958 Wellness Way Ste 1 Pender NE 68047-4518 | |
(402) 385-3033 | |
(402) 385-4041 |
Full Name | |
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Speciality | Family Medicine |
Location | 958 Wellness Way Ste 1, Pender, Nebraska |
Authorized Official Name and Position | Laura J Gamble (CEO) |
Authorized Official Contact | 4023853083 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 100 Pender NE 68047-0100 Ph: (402) 385-3033 | 958 Wellness Way Ste 1 Pender NE 68047-4518 Ph: (402) 385-3033 |
NPI Number | 1265092142 |
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Provider Enumeration Date | 06/13/2019 |
Last Update Date | 10/17/2022 |
Identifier | Type | State | Issuer |
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1265092142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |