| Am Wellness Clinic LLC | |
|
1002 Main St Bridgeport NE 69336-4035 | |
| (308) 262-5640 | |
| (970) 667-0847 |
| Full Name | Am Wellness Clinic LLC |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1002 Main St, Bridgeport, Nebraska |
| Authorized Official Name and Position | Amber Malcolm (PRESIDENT/CEO) |
| Authorized Official Contact | 3087786468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Am Wellness Clinic LLC Po Box 147 Bridgeport NE 69336-0147 Ph: (308) 262-5640 | Am Wellness Clinic LLC 1002 Main St Bridgeport NE 69336-4035 Ph: (308) 262-5640 |
| NPI Number | 1942195797 |
|---|---|
| Provider Enumeration Date | 06/11/2025 |
| Last Update Date | 07/22/2025 |
| Certification Date | 07/22/2025 |
| Medicare PECOS PAC ID | 2062912454 |
|---|---|
| Medicare Enrollment ID | O20250820004652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942195797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Secondary |
| 363L00000X | Nurse Practitioner | (NU) | Primary |
| Provider Name | Amber E Malcolm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568820900 PECOS PAC ID: 7810291614 Enrollment ID: I20160215000876 |
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Morrill County Hospital Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1313 S St, Ste A, Bridgeport, NE 69336 Phone: 308-262-1755 Fax: 308-262-0765 |