Regional West Physicians Clinic | |
1456 Center Ave Mitchell NE 69357-1448 | |
(308) 623-1234 | |
(308) 623-1388 |
Full Name | Regional West Physicians Clinic |
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Speciality | Clinic/center - Rural Health |
Location | 1456 Center Ave, Mitchell, Nebraska |
Authorized Official Name and Position | David G. Griffiths (CFO & VICE-PRESIDENT OF FINANCE) |
Authorized Official Contact | 3086301111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Regional West Physicians Clinic 1456 Center Ave Mitchell NE 69357-1448 Ph: (308) 623-1234 | Regional West Physicians Clinic 1456 Center Ave Mitchell NE 69357-1448 Ph: (308) 623-1234 |
NPI Number | 1992703425 |
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Provider Enumeration Date | 07/08/2005 |
Last Update Date | 06/17/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992703425 | NPI | - | NPPES |
CC9608 | Other | NE | PALMETTO GBA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Western Trails Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1463 17th Ave, Mitchell, NE 69357 Phone: 308-623-1313 Fax: 308-623-1313 |