| Grand Island Clinic Inc | |
|
2444 W Faidley Ave Grand Island NE 68803-4327 | |
| (130) 838-2110 | |
| (308) 385-0796 |
| Full Name | Grand Island Clinic Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2444 W Faidley Ave, Grand Island, Nebraska |
| Authorized Official Name and Position | Douglas J Herbek (PHYSICIAN) |
| Authorized Official Contact | 3083821100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Island Clinic Inc Po Box 550 Grand Island NE 68802-0550 Ph: (308) 382-1100 | Grand Island Clinic Inc 2444 W Faidley Ave Grand Island NE 68803-4327 Ph: (130) 838-2110 |
| NPI Number | 1598766735 |
|---|---|
| Provider Enumeration Date | 08/10/2005 |
| Last Update Date | 04/12/2024 |
| Medicare PECOS PAC ID | 9931181526 |
|---|---|
| Medicare Enrollment ID | O20040607000660 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598766735 | NPI | - | NPPES |
| CO4245 | Other | NE | PALMETTO GBA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Timothy Andrew Gardner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376543322 PECOS PAC ID: 4385628528 Enrollment ID: I20040616000030 |
| Provider Name | Kathryn Marie Kenna |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093753832 PECOS PAC ID: 4082626262 Enrollment ID: I20060707000339 |
| Provider Name | Molly Ann Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750506911 PECOS PAC ID: 9537260088 Enrollment ID: I20070727000194 |
| Provider Name | Douglas Alan Boon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356341309 PECOS PAC ID: 6002817913 Enrollment ID: I20080204000560 |
| Provider Name | Adam Benson Brosz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053434019 PECOS PAC ID: 1052463148 Enrollment ID: I20090721000512 |
| Provider Name | Douglas J Herbek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861492803 PECOS PAC ID: 2365547106 Enrollment ID: I20100201000718 |
| Provider Name | Karen M Higgins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114927175 PECOS PAC ID: 6204825748 Enrollment ID: I20100612000173 |
| Provider Name | Matthew J Brennan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104826155 PECOS PAC ID: 1052497013 Enrollment ID: I20100614000167 |
| Provider Name | Erica L Haake |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033264585 PECOS PAC ID: 9739212952 Enrollment ID: I20100809000247 |
| Provider Name | Lisa M Manchester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033490297 PECOS PAC ID: 2365616927 Enrollment ID: I20111116000314 |
| Provider Name | Melissa Karen Law |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013145028 PECOS PAC ID: 0547411225 Enrollment ID: I20121105000628 |
| Provider Name | Joseph Davis Law |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699063313 PECOS PAC ID: 5092954412 Enrollment ID: I20130615000183 |
| Provider Name | Libby D Crockett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912136813 PECOS PAC ID: 3072755545 Enrollment ID: I20130813000257 |
| Provider Name | Susan Mae Newman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396056396 PECOS PAC ID: 7517191596 Enrollment ID: I20131004000533 |
| Provider Name | Sarah E Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790207124 PECOS PAC ID: 7012288038 Enrollment ID: I20170809000503 |
| Provider Name | Lindsey Christel Mettenbrink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831504224 PECOS PAC ID: 8426277567 Enrollment ID: I20171002001366 |
| Provider Name | Ashley Freeman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619488863 PECOS PAC ID: 0547536401 Enrollment ID: I20171019002548 |
| Provider Name | Paul Andrew Cramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487173621 PECOS PAC ID: 5890061410 Enrollment ID: I20171026002654 |
| Provider Name | Alberto Solache |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073033718 PECOS PAC ID: 1254605439 Enrollment ID: I20200527002033 |
| Provider Name | Kelsi A Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891464798 PECOS PAC ID: 2264839158 Enrollment ID: I20210920001827 |
| Provider Name | Kirstin Renee Sholes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013322536 PECOS PAC ID: 2769600212 Enrollment ID: I20231004002187 |
Wagoner Medical Group Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 N Alpha St, Grand Island, NE 68803 Phone: 308-382-2010 Fax: 308-382-9549 | |
Employers' Healthcare Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 810 N Diers Ave, Grand Island, NE 68803 Phone: 308-381-2224 Fax: 308-398-1477 | |
Internal Medical Associates Of Grand Island, P. C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 729 N Custer Ave, Grand Island, NE 68803 Phone: 308-382-9266 Fax: 308-382-5290 | |
Vibrance Family Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 N Diers Ave, Grand Island, NE 68803 Phone: 308-281-2544 | |
Redzone Chiropractic Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 523 W 3rd St, Grand Island, NE 68801 Phone: 308-675-2742 Fax: 308-675-2744 | |
Mccann Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2820 E Us Highway 34, Grand Island, NE 68801 Phone: 308-227-2182 | |
Heartland Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2116 W Faidley Ave Ste 2100, Grand Island, NE 68803 Phone: 308-382-4297 Fax: 308-382-4376 |