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401 James St Verdigre NE 68783-6149 | |
(402) 668-2216 | |
(402) 668-2310 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 401 James St, Verdigre, Nebraska |
Authorized Official Name and Position | Kimberly J. Hixson (CFO) |
Authorized Official Contact | 4023585715 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 99 Verdigre NE 68783-0099 Ph: (402) 668-2216 | 401 James St Verdigre NE 68783-6149 Ph: (402) 668-2216 |
NPI Number | 1104910397 |
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Provider Enumeration Date | 10/03/2006 |
Last Update Date | 11/14/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104910397 | NPI | - | NPPES |
10025098919 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |