| Columbus Medical Center, P.c. | |
|
1454 28th Ave Columbus NE 68601-4944 | |
| (402) 564-2816 | |
| (402) 564-1312 |
| Full Name | Columbus Medical Center, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1454 28th Ave, Columbus, Nebraska |
| Authorized Official Name and Position | Edward Discoe (OWNER) |
| Authorized Official Contact | 4025642816 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbus Medical Center, P.c. 1454 28th Ave Columbus NE 68601-4944 Ph: (402) 564-2816 | Columbus Medical Center, P.c. 1454 28th Ave Columbus NE 68601-4944 Ph: (402) 564-2816 |
| NPI Number | 1548269368 |
|---|---|
| Provider Enumeration Date | 07/14/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 0749233757 |
|---|---|
| Medicare Enrollment ID | O20050301000897 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548269368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Nebraska) | Primary |
| Provider Name | Luke P Lemke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104820489 PECOS PAC ID: 8921051830 Enrollment ID: I20050302000779 |
| Provider Name | Edward D Discoe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447252721 PECOS PAC ID: 2961455886 Enrollment ID: I20050302000820 |
| Provider Name | Jeffrey Gotschall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174525414 PECOS PAC ID: 9931299229 Enrollment ID: I20100621000736 |
| Provider Name | Craig Matthew Pekny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386964260 PECOS PAC ID: 0547408627 Enrollment ID: I20130531000144 |
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