| Faith Regional Health Services | |
|
2700 W Norfolk Ave Norfolk NE 68701-4438 | |
| (402) 371-4880 | |
| (402) 644-7432 |
| Full Name | Faith Regional Health Services |
|---|---|
| Speciality | Emergency Medicine |
| Location | 2700 W Norfolk Ave, Norfolk, Nebraska |
| Authorized Official Name and Position | Kelly A Driscoll (PRESIDENT/CEO) |
| Authorized Official Contact | 4023714880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith Regional Health Services Po Box 869 Norfolk NE 68702-0869 Ph: (402) 644-7249 | Faith Regional Health Services 2700 W Norfolk Ave Norfolk NE 68701-4438 Ph: (402) 371-4880 |
| NPI Number | 1104854199 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 07/28/2021 |
| Certification Date | 07/28/2021 |
| Medicare PECOS PAC ID | 8921902966 |
|---|---|
| Medicare Enrollment ID | O20031121000464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104854199 | NPI | - | NPPES |
| 31338 | Other | NE | BCBS ER GROUP |
| 10025533600 | Medicaid | NE | |
| 36887 | Other | NE | BCBS DME |
| 0544858 | Medicaid | IA | |
| 10025533500 | Medicaid | NE | |
| 81002 | Other | NE | ZWIENER ONLY |
| 0538280 | Medicaid | IA |
| Provider Name | Douglas A Dilly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740266162 PECOS PAC ID: 1557355732 Enrollment ID: I20040412000532 |
| Provider Name | Charles E Rowse |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437101474 PECOS PAC ID: 3476528019 Enrollment ID: I20040827000824 |
| Provider Name | Thomas Scott Diesing |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659351591 PECOS PAC ID: 8224931316 Enrollment ID: I20060503000842 |
| Provider Name | Brent M Premer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467428482 PECOS PAC ID: 2668484841 Enrollment ID: I20060707000313 |
| Provider Name | Lisa D Yosten |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003867466 PECOS PAC ID: 6204822794 Enrollment ID: I20080425000664 |
| Provider Name | Myles Gart |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447368964 PECOS PAC ID: 5294637039 Enrollment ID: I20090608000418 |
| Provider Name | Quentin J Durward |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1457354383 PECOS PAC ID: 5395642243 Enrollment ID: I20100816000353 |
| Provider Name | Diane Corredor Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780903476 PECOS PAC ID: 2264563105 Enrollment ID: I20120605000458 |
| Provider Name | Jenna L Witt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851642466 PECOS PAC ID: 6800048463 Enrollment ID: I20121205000024 |
| Provider Name | Deniece Phyllis-bernice Petersen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083025571 PECOS PAC ID: 5395965297 Enrollment ID: I20140926001902 |
| Provider Name | Brian J Keegan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245591627 PECOS PAC ID: 4082847512 Enrollment ID: I20150720002087 |
| Provider Name | Joshua J Wenande |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710338538 PECOS PAC ID: 7012200397 Enrollment ID: I20160725000716 |
| Provider Name | Michael R Pichler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972867943 PECOS PAC ID: 2264677707 Enrollment ID: I20170727003248 |
| Provider Name | Hendrik B Klopper |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1942429394 PECOS PAC ID: 4183894694 Enrollment ID: I20170912001310 |
| Provider Name | Todd Gunnar Holmes |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588720544 PECOS PAC ID: 4981627924 Enrollment ID: I20180223000263 |
| Provider Name | Alicia M Mccabe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952757536 PECOS PAC ID: 6305131665 Enrollment ID: I20180419002606 |
| Provider Name | Ojbindra Kc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447601588 PECOS PAC ID: 0446542757 Enrollment ID: I20190621002306 |
| Provider Name | Punya H Dahal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164875985 PECOS PAC ID: 7517203771 Enrollment ID: I20190624000098 |
| Provider Name | Kevin T White |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1760434245 PECOS PAC ID: 5799677506 Enrollment ID: I20200515002163 |
| Provider Name | Steven Michael Phillips |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285082271 PECOS PAC ID: 7315230091 Enrollment ID: I20220616000228 |
| Provider Name | Monica Krause Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669992640 PECOS PAC ID: 0446524904 Enrollment ID: I20230720001429 |
| Provider Name | Andrew Erik Hutchison Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710481619 PECOS PAC ID: 1850648817 Enrollment ID: I20240604000950 |
| Provider Name | Jennifer J Shaw |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447812995 PECOS PAC ID: 4981936093 Enrollment ID: I20240606000517 |
| Provider Name | Kiley M Cameron |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396306569 PECOS PAC ID: 3173855145 Enrollment ID: I20240710003248 |
| Provider Name | Kelly-ann Andrea Patrice |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316295181 PECOS PAC ID: 5395969992 Enrollment ID: I20240828001121 |
| Provider Name | Nicolle Marie Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053984500 PECOS PAC ID: 2365848280 Enrollment ID: I20250130001388 |
| Provider Name | Rena B Zimmerman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851350318 PECOS PAC ID: 9537058417 Enrollment ID: I20250130002430 |
Liane Bode, Lmhp, Cpc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1309 N 9th St, Norfolk, NE 68701 Phone: 402-844-3073 | |
Laura Jessen Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1106 W Benjamin Ave Ste 800, Norfolk, NE 68701 Phone: 531-218-8819 | |
Cor Therapeutic Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1800 W Pasewalk Ave Ste A, Norfolk, NE 68701 Phone: 402-500-6870 | |
Midtown Health Center, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1101 N 18th St, Norfolk, NE 68701 Phone: 402-371-8000 Fax: 402-371-0971 | |
Associated Psychologists & Counselors, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1306 N 13th St, Suite 100, Norfolk, NE 68701 Phone: 402-371-8218 Fax: 402-371-8259 | |
Midtown Health Center, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2500 W Norfolk Ave, Norfolk, NE 68701 Phone: 402-371-8000 Fax: 402-371-0971 |