| Fmch LLC | |
|
1021 W 14th St Hastings NE 68901-3046 | |
| (402) 462-8456 | |
| (402) 463-9697 |
| Full Name | Fmch LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1021 W 14th St, Hastings, Nebraska |
| Authorized Official Name and Position | David J Schram (OWNER) |
| Authorized Official Contact | 4024628456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fmch LLC Po Box 968 Hastings NE 68902-0968 Ph: (402) 462-8456 | Fmch LLC 1021 W 14th St Hastings NE 68901-3046 Ph: (402) 462-8456 |
| NPI Number | 1629883053 |
|---|---|
| Provider Enumeration Date | 02/12/2025 |
| Last Update Date | 02/21/2025 |
| Certification Date | 02/21/2025 |
| Medicare PECOS PAC ID | 9032632351 |
|---|---|
| Medicare Enrollment ID | O20250327001952 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629883053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | David J Schram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689783763 PECOS PAC ID: 1052363173 Enrollment ID: I20100722000982 |
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