Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 116 E H St, Wymore, Nebraska |
Authorized Official Name and Position | Chad Jurgens (CFO) |
Authorized Official Contact | 4022237224 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 278 Beatrice NE 68310-0278 Ph: (402) 228-3344 | 116 E H St Wymore NE 68466-1702 Ph: (402) 645-3310 |
NPI Number | 1871608174 |
---|---|
Provider Enumeration Date | 08/20/2006 |
Last Update Date | 09/30/2022 |
Medicare PECOS PAC ID | 1951208222 |
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Medicare Enrollment ID | O20050127000781 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871608174 | NPI | - | NPPES |
2281 | Other | NE | MIDLANDS CHOICE #DH |
37668 | Other | NE | BC # DH |
30327 | Other | NE | BC #DW |
37665 | Other | NE | BC # SL |
7928 | Other | NE | MIDLANDS CHOICE #JC |
1935 | Other | NE | MIDLANDS CHOICE DW |
230068 | Other | NE | MIDLANDS CHOICE #SL |
30768 | Other | NE | BLUE CROSS CLINIC # |
47037984003 | Other | NE | TRICARE PROVIDER # |
32297 | Other | NE | BC # JC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |