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610 Glover Rd Ste 4 Sidney NE 69162-3050 | |
(308) 254-4752 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 610 Glover Rd Ste 4, Sidney, Nebraska |
Authorized Official Name and Position | Kelly K Utley (CFO) |
Authorized Official Contact | 3082545064 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1000 Pole Creek Xing Sidney NE 69162-2900 Ph: (308) 254-5825 | 610 Glover Rd Ste 4 Sidney NE 69162-3050 Ph: (308) 254-4752 |
NPI Number | 1205362449 |
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Provider Enumeration Date | 05/09/2017 |
Last Update Date | 04/10/2020 |
Medicare PECOS PAC ID | 1658345657 |
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Medicare Enrollment ID | O20170802000076 |
Identifier | Type | State | Issuer |
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1205362449 | NPI | - | NPPES |
Family Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 645 Osage St, Sidney, NE 69162 Phone: 970-526-8100 |