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208 N French Ave Sutton NE 68979-2215 | |
(402) 773-2130 | |
(402) 723-4520 |
Full Name | |
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Speciality | Family Medicine |
Location | 208 N French Ave, Sutton, Nebraska |
Authorized Official Name and Position | Jill Ann Myers (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 4027234512 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1621 Front St Henderson NE 68371-8902 Ph: (402) 773-2130 | 208 N French Ave Sutton NE 68979-2215 Ph: (402) 773-2130 |
NPI Number | 1881708709 |
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Provider Enumeration Date | 08/18/2006 |
Last Update Date | 09/23/2020 |
Medicare PECOS PAC ID | 4284605700 |
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Medicare Enrollment ID | O20050629000170 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881708709 | NPI | - | NPPES |
10025317100 | Medicaid | NE | |
10025326900 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |