| Hiawatha Llc | |
|
610 Main St Alma NE 68920-2165 | |
| (308) 928-2187 | |
| Not Available |
| Full Name | Hiawatha Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 610 Main St, Alma, Nebraska |
| Authorized Official Name and Position | Kelly J Mclain (OPTOMETRIST/OWNER) |
| Authorized Official Contact | 3089282187 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hiawatha Llc Po Box 777 Alma NE 68920-0777 Ph: (308) 928-2187 | Hiawatha Llc 610 Main St Alma NE 68920-2165 Ph: (308) 928-2187 |
| NPI Number | 1396408720 |
|---|---|
| Provider Enumeration Date | 10/21/2021 |
| Last Update Date | 06/16/2022 |
| Medicare PECOS PAC ID | 5496144289 |
|---|---|
| Medicare Enrollment ID | O20211117000507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396408720 | NPI | - | NPPES |
| 12737256 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Kelly J Mclain |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487063863 PECOS PAC ID: 6608190301 Enrollment ID: I20190110003107 |
Heartland Family Medicine, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 Brown St, Alma, NE 68920 Phone: 308-928-2103 Fax: 308-928-2560 | |
Harlan County Health System Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 907 7th St, Alma, NE 68920 Phone: 308-928-2103 Fax: 308-928-2560 |