| Complete Care Family Practice | |
|
713 1/2 W 27th St Scottsbluff NE 69361-4412 | |
| (308) 633-2273 | |
| (308) 633-2276 |
| Full Name | Complete Care Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 713 1/2 W 27th St, Scottsbluff, Nebraska |
| Authorized Official Name and Position | Peggy Lynn Sheets (CREDENTIALING) |
| Authorized Official Contact | 3086411262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Care Family Practice 713 1/2 W 27th St Scottsbluff NE 69361-4412 Ph: (308) 633-2273 | Complete Care Family Practice 713 1/2 W 27th St Scottsbluff NE 69361-4412 Ph: (308) 633-2273 |
| NPI Number | 1679079669 |
|---|---|
| Provider Enumeration Date | 03/30/2018 |
| Last Update Date | 03/30/2018 |
| Medicare PECOS PAC ID | 8628330081 |
|---|---|
| Medicare Enrollment ID | O20180322001642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679079669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jodene B Burkhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780607556 PECOS PAC ID: 7416094040 Enrollment ID: I20091029000738 |
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