Ravenna Medical Clinic Pc | |
104 W Seneca St Ravenna NE 68869 | |
(308) 452-3203 | |
(308) 452-3795 |
Full Name | Ravenna Medical Clinic Pc |
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Speciality | Clinic/center - Rural Health |
Location | 104 W Seneca St, Ravenna, Nebraska |
Authorized Official Name and Position | Ryan Lieske (PHYSICIAN ASSISTANT/OWNER) |
Authorized Official Contact | 3084523203 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ravenna Medical Clinic Pc 611 W Seneca St Ravenna NE 68869-1200 Ph: (308) 452-3203 | Ravenna Medical Clinic Pc 104 W Seneca St Ravenna NE 68869 Ph: (308) 452-3203 |
NPI Number | 1851812721 |
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Provider Enumeration Date | 06/30/2017 |
Last Update Date | 07/14/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851812721 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
First Care Medical, Pc Of Ravenna Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 W Seneca St, Ravenna, NE 68869 Phone: 308-236-7016 Fax: 308-236-7027 | |
Heartland Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 W Seneca St, Ravenna, NE 68869 Phone: 308-382-4297 |