| Avera Medical Group Ewing | |
|
202 Nebraska St Ewing NE 68735-9513 | |
| (402) 626-7546 | |
| Not Available |
| Full Name | Avera Medical Group Ewing |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 202 Nebraska St, Ewing, Nebraska |
| Authorized Official Name and Position | Kayleen Lee (CEO) |
| Authorized Official Contact | 4023365140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Medical Group Ewing Po Box 270 Oneill NE 68763-0270 Ph: (402) 336-2900 | Avera Medical Group Ewing 202 Nebraska St Ewing NE 68735-9513 Ph: (402) 626-7546 |
| NPI Number | 1003182072 |
|---|---|
| Provider Enumeration Date | 03/23/2012 |
| Last Update Date | 12/02/2022 |
| Certification Date | 12/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003182072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |