Full Name | |
---|---|
Speciality | Ambulance |
Location | 225 Bluff St, Winnebago, Nebraska |
Authorized Official Name and Position | Beth Wewel (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 4027453950 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
225 Bluff St Winnebago NE 68071 Ph: (402) 745-3950 | 225 Bluff St Winnebago NE 68071 Ph: (402) 745-3950 |
NPI Number | 1295720811 |
---|---|
Provider Enumeration Date | 09/20/2005 |
Last Update Date | 01/08/2025 |
Medicare PECOS PAC ID | 1052334315 |
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Medicare Enrollment ID | O20060112000584 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295720811 | NPI | - | NPPES |
590013287 | Other | RAILROAD MEDICARE | |
47048911800 | Medicaid | NE | |
09295 | Other | NE | BLUE CROSS PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
3416L0300X | Ambulance - Land Transport | 1330 (Nebraska) | Primary |