| Innovative Community Health Institute Llc | |
|
830 E 1st St Ste 200 Crete NE 68333-3104 | |
| (402) 826-3222 | |
| (402) 826-3228 |
| Full Name | Innovative Community Health Institute Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 830 E 1st St Ste 200, Crete, Nebraska |
| Authorized Official Name and Position | Josue D Gutierrez (PRESIDENT/OWNER) |
| Authorized Official Contact | 4028263222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Community Health Institute Llc 830 E 1st St Ste 200 Crete NE 68333-3104 Ph: (402) 826-3222 | Innovative Community Health Institute Llc 830 E 1st St Ste 200 Crete NE 68333-3104 Ph: (402) 826-3222 |
| NPI Number | 1386256683 |
|---|---|
| Provider Enumeration Date | 08/18/2020 |
| Last Update Date | 05/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386256683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
The Physician Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 969 E Highway 33, Crete, NE 68333 Phone: 402-826-3222 Fax: 402-826-3228 | |
Crete Area Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2910 Betten Dr, Crete, NE 68333 Phone: 402-826-2102 Fax: 402-826-7950 |