| Gretna Family Health Pc | |
|
11820 Standing Stone Dr Gretna NE 68028-7979 | |
| (402) 332-3903 | |
| (402) 391-3076 |
| Full Name | Gretna Family Health Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 11820 Standing Stone Dr, Gretna, Nebraska |
| Authorized Official Name and Position | William D Weeks (PRESIDENT) |
| Authorized Official Contact | 4023323903 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gretna Family Health Pc 11820 Standing Stone Dr Gretna NE 68028-7979 Ph: (402) 332-3903 | Gretna Family Health Pc 11820 Standing Stone Dr Gretna NE 68028-7979 Ph: (402) 332-3903 |
| NPI Number | 1861864498 |
|---|---|
| Provider Enumeration Date | 10/22/2015 |
| Last Update Date | 10/22/2015 |
| Medicare PECOS PAC ID | 3870899677 |
|---|---|
| Medicare Enrollment ID | O20160303002136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861864498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | William D Weeks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245237882 PECOS PAC ID: 0648266882 Enrollment ID: I20040428000459 |
| Provider Name | Kathleen A Archer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861482762 PECOS PAC ID: 7618076845 Enrollment ID: I20070628000244 |
| Provider Name | Amanda L Rauh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710667803 PECOS PAC ID: 0547622292 Enrollment ID: I20230814001179 |
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