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110 S Visiting Eagle St Niobrara NE 68760-7201 | |
| (402) 857-2300 | |
| (402) 857-2416 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 S Visiting Eagle St, Niobrara, Nebraska |
| Authorized Official Name and Position | Mike Henry (HEALTH DIRECTOR) |
| Authorized Official Contact | 4028572300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
110 S Visiting Eagle St Niobrara NE 68760-7201 Ph: (402) 857-2300 | 110 S Visiting Eagle St Niobrara NE 68760-7201 Ph: (402) 857-2300 |
| NPI Number | 1053465096 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8426102773 |
|---|---|
| Medicare Enrollment ID | O20090820000497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053465096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Nebraska) | Primary |
| Provider Name | Scott J Hiltunen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457380859 PECOS PAC ID: 1355423492 Enrollment ID: I20200102000403 |
| Provider Name | Sunny L Nagengast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386692077 PECOS PAC ID: 6901988948 Enrollment ID: I20211020001406 |
| Provider Name | Byron S Nielsen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316157928 PECOS PAC ID: 3870664469 Enrollment ID: I20230419001530 |
Santee Sioux Tribe Of Nebraska Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S Visiting Eagle St, Niobrara, NE 68760 Phone: 402-857-2300 Fax: 402-857-2910 | |
Santee Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S Visiting Eagle St, Niobrara, NE 68760 Phone: 402-857-2300 Fax: 402-857-2315 |