| Primus Health Care Pc | |
|
3900 Pine Lake Rd Lincoln NE 68516-5489 | |
| (402) 421-2100 | |
| (402) 421-2104 |
| Full Name | Primus Health Care Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3900 Pine Lake Rd, Lincoln, Nebraska |
| Authorized Official Name and Position | Matthew M Glenn (OWNER) |
| Authorized Official Contact | 4024212100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primus Health Care Pc 3900 Pine Lake Rd Lincoln NE 68516-5489 Ph: (402) 421-2100 | Primus Health Care Pc 3900 Pine Lake Rd Lincoln NE 68516-5489 Ph: (402) 421-2100 |
| NPI Number | 1508171612 |
|---|---|
| Provider Enumeration Date | 08/12/2010 |
| Last Update Date | 05/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508171612 | NPI | - | NPPES |
| 10025945600 | Medicaid | NE | |
| 10025945800 | Medicaid | NE | |
| 10025951700 | Medicaid | NE | |
| 10026136000 | Medicaid | NE | |
| 10026145200 | Medicaid | NE | |
| 10025945200 | Medicaid | NE | |
| 10025951900 | Medicaid | NE | |
| 10026145100 | Medicaid | NE | |
| 10025945300 | Medicaid | NE | |
| 10025951600 | Medicaid | NE | |
| 10025945500 | Medicaid | NE | |
| 10025951800 | Medicaid | NE | |
| 10025898200 | Medicaid | NE | |
| 10025945700 | Medicaid | NE | |
| 10025945400 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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