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131 E Sullivan St Spalding NE 68665-6203 | |
(308) 497-2485 | |
(308) 497-2264 |
Full Name | |
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Speciality | Clinic/Center |
Location | 131 E Sullivan St, Spalding, Nebraska |
Authorized Official Name and Position | Caleb K Poore (CEO) |
Authorized Official Contact | 4023953213 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 151 Albion NE 68620-0151 Ph: (402) 395-3213 | 131 E Sullivan St Spalding NE 68665-6203 Ph: (308) 497-2485 |
NPI Number | 1497789812 |
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Provider Enumeration Date | 07/10/2006 |
Last Update Date | 04/18/2024 |
Medicare PECOS PAC ID | 1254306178 |
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Medicare Enrollment ID | O20041020001262 |
Identifier | Type | State | Issuer |
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1497789812 | NPI | - | NPPES |
10025177700 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |