| Midwest Country Clinic Llc | |
|
407 S Clark St Bassett NE 68714-5062 | |
| (402) 684-2908 | |
| (402) 913-3454 |
| Full Name | Midwest Country Clinic Llc |
|---|---|
| Speciality | Counselor |
| Location | 407 S Clark St, Bassett, Nebraska |
| Authorized Official Name and Position | Melissa Dearmont (OWNER) |
| Authorized Official Contact | 4027603002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Country Clinic Llc Po Box 26 Bassett NE 68714-0026 Ph: (402) 684-2908 | Midwest Country Clinic Llc 407 S Clark St Bassett NE 68714-5062 Ph: (402) 684-2908 |
| NPI Number | 1417155433 |
|---|---|
| Provider Enumeration Date | 07/11/2007 |
| Last Update Date | 08/12/2025 |
| Medicare PECOS PAC ID | 2466768809 |
|---|---|
| Medicare Enrollment ID | O20150901000445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417155433 | NPI | - | NPPES |
| 10026522900 | Medicaid | NE | |
| 85517 | Other | NE | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 257 (Nebraska) | Primary |
| Provider Name | Melissa L Dearmont |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922057868 PECOS PAC ID: 6305870197 Enrollment ID: I20050921000602 |
| Provider Name | Kathy A Schindler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326077827 PECOS PAC ID: 7012920341 Enrollment ID: I20060804000273 |
| Provider Name | Murlene N Osburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457788531 PECOS PAC ID: 8224343520 Enrollment ID: I20150817000225 |
| Provider Name | Sally Davis-jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225672371 PECOS PAC ID: 5799128849 Enrollment ID: I20240206002985 |
| Provider Name | Amber L Keefe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174181804 PECOS PAC ID: 7618313479 Enrollment ID: I20240314003408 |
| Provider Name | Rita Maloley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962226720 PECOS PAC ID: 8921534868 Enrollment ID: I20241216001032 |