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308 Ash St Wakefield NE 68784-5023 | |
(402) 287-2267 | |
(402) 287-2267 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 308 Ash St, Wakefield, Nebraska |
Authorized Official Name and Position | Brian Monsma (EXECUTIVE NETWORK DIRECTOR) |
Authorized Official Contact | 7122792925 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 328 Sioux City IA 51102-0328 Ph: (712) 279-5830 | 308 Ash St Wakefield NE 68784-5023 Ph: (402) 287-2267 |
NPI Number | 1063450708 |
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Provider Enumeration Date | 06/03/2006 |
Last Update Date | 09/27/2007 |
Identifier | Type | State | Issuer |
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1063450708 | NPI | - | NPPES |
100252199-00 | Medicaid | NE |