| Bluestem Health 360 | |
|
2301 O St Suite 2 Lincoln NE 68510-1124 | |
| (402) 476-1455 | |
| (402) 476-1655 |
| Full Name | Bluestem Health 360 |
|---|---|
| Speciality | Clinic/Center |
| Location | 2301 O St, Lincoln, Nebraska |
| Authorized Official Name and Position | Brad Lee Meyer (CEO) |
| Authorized Official Contact | 4024705424 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluestem Health 360 1021 N 27th St Lincoln NE 68503-1803 Ph: (402) 476-1455 | Bluestem Health 360 2301 O St Suite 2 Lincoln NE 68510-1124 Ph: (402) 476-1455 |
| NPI Number | 1558720326 |
|---|---|
| Provider Enumeration Date | 02/22/2016 |
| Last Update Date | 09/22/2021 |
| Certification Date | 09/22/2021 |
| Medicare PECOS PAC ID | 6800706672 |
|---|---|
| Medicare Enrollment ID | O20160308001054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558720326 | NPI | - | NPPES |
| 10026494202 | Medicaid | NE | |
| 10026494201 | Medicaid | NE |
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