West Holt Medical Clinic | |
405 W Pearl St Atkinson NE 68713-4882 | |
(402) 925-2631 | |
(402) 925-2914 |
Full Name | West Holt Medical Clinic |
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Speciality | General Practice |
Location | 405 W Pearl St, Atkinson, Nebraska |
Authorized Official Name and Position | Jeremy Bauer (CFO) |
Authorized Official Contact | 4029251947 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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West Holt Medical Clinic Po Box 458 Atkinson NE 68713-0458 Ph: (402) 925-2631 | West Holt Medical Clinic 405 W Pearl St Atkinson NE 68713-4882 Ph: (402) 925-2631 |
NPI Number | 1366492472 |
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Provider Enumeration Date | 05/11/2006 |
Last Update Date | 12/17/2021 |
Medicare PECOS PAC ID | 2264419878 |
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Medicare Enrollment ID | O20040701000936 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366492472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Provider Name | John D Tubbs |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104812270 PECOS PAC ID: 5395638340 Enrollment ID: I20040204000659 |
Provider Name | Douglas M Laflan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821045824 PECOS PAC ID: 5193628170 Enrollment ID: I20060403000787 |
Provider Name | April J Dexter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780813097 PECOS PAC ID: 3779637525 Enrollment ID: I20090813000587 |
Provider Name | Demetrio Aguila |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1376503391 PECOS PAC ID: 0547366403 Enrollment ID: I20140625000752 |
Provider Name | Blake A Cover |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1225484934 PECOS PAC ID: 6103111455 Enrollment ID: I20171024003371 |
Provider Name | Jacob C Peterson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679954028 PECOS PAC ID: 5294040275 Enrollment ID: I20180507000732 |
Provider Name | Samantha Lee Sholes |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457889792 PECOS PAC ID: 6709150980 Enrollment ID: I20201013003456 |
Provider Name | Joel Welshons |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699188714 PECOS PAC ID: 4486062981 Enrollment ID: I20210422000836 |
Provider Name | Kathlene Rasmussen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245808526 PECOS PAC ID: 4284021247 Enrollment ID: I20220422000605 |
Greater Sandhills Family Healthcare, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 418 E 5th St, Atkinson, NE 68713 Phone: 402-925-2994 Fax: 402-925-2996 |