Davenport Medical Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Davenport, Nebraska. The current practice location for Davenport Medical Clinic is 105 S Linden Ave, Davenport, Nebraska. For appointments, you can reach them via phone at
(402) 364-2105. The mailing address for Davenport Medical Clinic is 120 Park Ave, Hebron, Nebraska and phone number is (402) 768-6041.
Davenport Medical Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1972589349. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(402) 364-2105.
Primary Care Clinic Profile
| Full Name | Davenport Medical Clinic |
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| Speciality | Clinic/Center |
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| Location | 105 S Linden Ave, Davenport, Nebraska |
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| Authorized Official Name and Position | Brian Rokusek (CEO) |
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| Authorized Official Contact | 4027686041 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Davenport Medical Clinic
120 Park Ave
Hebron
NE 68370-2019
Ph: (402) 768-6041 | Davenport Medical Clinic
105 S Linden Ave
Davenport
NE 68335-3129
Ph: (402) 364-2105 |
NPI Details:
| NPI Number | 1972589349 |
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| Provider Enumeration Date | 12/19/2005 |
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| Last Update Date | 12/17/2021 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 3577559145 |
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| Medicare Enrollment ID | O20050222000206 |
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Medical Identifiers
Medical identifiers for Davenport Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972589349 | NPI | - | NPPES |
| ========= | Medicaid | NE | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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