Full Name | |
---|---|
Speciality | Clinic/center |
Location | 225 Bluff St, Winnebago, Nebraska |
Authorized Official Name and Position | Beth Wewel (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 4027453950 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
225 Bluff St Winnebago NE 68071 Ph: (402) 745-3650 | 225 Bluff St Winnebago NE 68071 Ph: (402) 745-3650 |
NPI Number | 1497938542 |
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Provider Enumeration Date | 12/12/2007 |
Last Update Date | 09/06/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497938542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |