Wausa Medical Clinic | |
100 N Lincoln St Wausa NE 68786-2050 | |
(402) 586-2244 | |
(402) 586-2580 |
Full Name | Wausa Medical Clinic |
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Speciality | Family Medicine |
Location | 100 N Lincoln St, Wausa, Nebraska |
Authorized Official Name and Position | Lon M. Knievel (CEO) |
Authorized Official Contact | 4027483393 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wausa Medical Clinic Po Box 429 Osmond NE 68765-0429 Ph: (402) 748-3393 | Wausa Medical Clinic 100 N Lincoln St Wausa NE 68786-2050 Ph: (402) 586-2244 |
NPI Number | 1700979622 |
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Provider Enumeration Date | 10/02/2006 |
Last Update Date | 11/23/2020 |
Medicare PECOS PAC ID | 4183689227 |
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Medicare Enrollment ID | O20141218001811 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700979622 | NPI | - | NPPES |
822554 | Other | NE | WAUSA (COVENTRY) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |