| Banner Health Physicians West Llc | |
|
1100 W 2nd St Oshkosh NE 69154-6152 | |
| (308) 772-3283 | |
| (308) 772-1038 |
| Full Name | Banner Health Physicians West Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1100 W 2nd St, Oshkosh, Nebraska |
| Authorized Official Name and Position | Dennis Laraway (CFO) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Health Physicians West Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Health Physicians West Llc 1100 W 2nd St Oshkosh NE 69154-6152 Ph: (308) 772-3283 |
| NPI Number | 1689928467 |
|---|---|
| Provider Enumeration Date | 11/01/2012 |
| Last Update Date | 02/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689928467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Regional West Garden County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 W 2nd St, Ste 100, Oshkosh, NE 69154 Phone: 308-772-3283 Fax: 308-772-3284 | |
Main Street Medical Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 310 Main St, Oshkosh, NE 69154 Phone: 308-772-0164 |