| Cedar Rapids Medical Clinic | |
|
106 S 3rd St Cedar Rapids NE 68627 | |
| (308) 358-0615 | |
| (308) 358-0617 |
| Full Name | Cedar Rapids Medical Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 106 S 3rd St, Cedar Rapids, Nebraska |
| Authorized Official Name and Position | Lisa Lynne Kennedy (OFFICE MANAGER) |
| Authorized Official Contact | 4026782232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Rapids Medical Clinic Po Box 313 Cedar Rapids NE 68627-0313 Ph: (308) 358-0615 | Cedar Rapids Medical Clinic 106 S 3rd St Cedar Rapids NE 68627 Ph: (308) 358-0615 |
| NPI Number | 1932287570 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 10/24/2023 |
| Certification Date | 09/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932287570 | NPI | - | NPPES |
| 10025570600 | Medicaid | NE | |
| 10025570700 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |