| Wholehearted Healthcare Pc | |
|
4701 Bancroft Ave Lincoln NE 68506-4324 | |
| (402) 730-9819 | |
| (308) 870-7157 |
| Full Name | Wholehearted Healthcare Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4701 Bancroft Ave, Lincoln, Nebraska |
| Authorized Official Name and Position | Eugena Foster (OWNER) |
| Authorized Official Contact | 4027309819 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholehearted Healthcare Pc 4701 Bancroft Ave Lincoln NE 68506-4324 Ph: (402) 730-9819 | Wholehearted Healthcare Pc 4701 Bancroft Ave Lincoln NE 68506-4324 Ph: (402) 730-9819 |
| NPI Number | 1730745597 |
|---|---|
| Provider Enumeration Date | 05/16/2019 |
| Last Update Date | 05/16/2019 |
| Medicare PECOS PAC ID | 7012244809 |
|---|---|
| Medicare Enrollment ID | O20190816002234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730745597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Eugena Marie Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639113335 PECOS PAC ID: 3971554114 Enrollment ID: I20050204000734 |
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