| Memorial Health Clinic | |
|
609 O St Aurora NE 68818-1100 | |
| (402) 694-3191 | |
| (402) 694-2146 |
| Full Name | Memorial Health Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 609 O St, Aurora, Nebraska |
| Authorized Official Name and Position | Phil Fendt (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4026946007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Health Clinic 609 O St Aurora NE 68818-1100 Ph: (402) 694-3191 | Memorial Health Clinic 609 O St Aurora NE 68818-1100 Ph: (402) 694-3191 |
| NPI Number | 1881603850 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1355394040 |
|---|---|
| Medicare Enrollment ID | O20100213000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881603850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Louis Violi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922002633 PECOS PAC ID: 1456312933 Enrollment ID: I20051114000920 |
| Provider Name | Harvey a Hopkins |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871597583 PECOS PAC ID: 5395708416 Enrollment ID: I20051114000937 |
| Provider Name | Douglas J Langemeier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528076171 PECOS PAC ID: 1456367846 Enrollment ID: I20060222000263 |
| Provider Name | Jeffrey E Jarrett |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023026663 PECOS PAC ID: 2163431420 Enrollment ID: I20060413000509 |
| Provider Name | John F Trapp |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477522464 PECOS PAC ID: 1557374865 Enrollment ID: I20060802000500 |
| Provider Name | Douglas Fiedler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215976147 PECOS PAC ID: 2668428814 Enrollment ID: I20060823000596 |
| Provider Name | William M Johnson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932178548 PECOS PAC ID: 6002817152 Enrollment ID: I20070116000619 |
| Provider Name | Jonathan Spencer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538163241 PECOS PAC ID: 9739140930 Enrollment ID: I20070227000465 |
| Provider Name | Kevin J Reichmuth |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073576229 PECOS PAC ID: 7618056813 Enrollment ID: I20080429000676 |
| Provider Name | Cameron L Sidak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639326788 PECOS PAC ID: 1759442346 Enrollment ID: I20081201000415 |
| Provider Name | Michael J Sebek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841249653 PECOS PAC ID: 0244391688 Enrollment ID: I20081204000296 |
| Provider Name | Chelsey R Hansel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851308795 PECOS PAC ID: 3375631351 Enrollment ID: I20100602001039 |
| Provider Name | Mark J Jobman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134137706 PECOS PAC ID: 6709857329 Enrollment ID: I20100814000038 |
| Provider Name | Michael J Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528076197 PECOS PAC ID: 7911031844 Enrollment ID: I20100814000050 |
| Provider Name | Jeffrey J Muilenburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386652964 PECOS PAC ID: 1456485150 Enrollment ID: I20100817000938 |
| Provider Name | Scott R Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497761134 PECOS PAC ID: 1052445699 Enrollment ID: I20100817001628 |
| Provider Name | John C Wilcox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124036710 PECOS PAC ID: 6800910423 Enrollment ID: I20100902000453 |
| Provider Name | Ryan Martin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790981082 PECOS PAC ID: 4183881568 Enrollment ID: I20120214000308 |
| Provider Name | Radu Neamu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083895577 PECOS PAC ID: 1456593912 Enrollment ID: I20130813000091 |
| Provider Name | Traci M Penner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891248720 PECOS PAC ID: 3779879101 Enrollment ID: I20160909002070 |
| Provider Name | Jennifer M Leiting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407394935 PECOS PAC ID: 7113202045 Enrollment ID: I20170316000181 |
| Provider Name | Derek J Kleier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568955466 PECOS PAC ID: 6305192931 Enrollment ID: I20180711003202 |
| Provider Name | Ali Piper |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396009031 PECOS PAC ID: 9032407911 Enrollment ID: I20180731000387 |
| Provider Name | Jennifer Harney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467830026 PECOS PAC ID: 7012262363 Enrollment ID: I20181210002553 |
| Provider Name | Lindsey N Makovicka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881173797 PECOS PAC ID: 4284973785 Enrollment ID: I20190227002861 |
| Provider Name | Alexis Rae Erbst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407382302 PECOS PAC ID: 4284907353 Enrollment ID: I20200727001623 |
| Provider Name | Matthew a Maslonka |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114330784 PECOS PAC ID: 2961774369 Enrollment ID: I20200824003351 |
| Provider Name | Whitney Jane Polen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043894199 PECOS PAC ID: 6002219615 Enrollment ID: I20210720002319 |
| Provider Name | Bryce a Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255001160 PECOS PAC ID: 3577961655 Enrollment ID: I20211004001393 |
| Provider Name | Sean C Flor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710545504 PECOS PAC ID: 8628308582 Enrollment ID: I20220505000111 |
| Provider Name | Logan Ann Mertlik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740903673 PECOS PAC ID: 0446636369 Enrollment ID: I20220929003808 |
| Provider Name | Lisa M Mofle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710961511 PECOS PAC ID: 8224055397 Enrollment ID: I20221025002200 |
| Provider Name | Jamie Lee Dibbern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952708208 PECOS PAC ID: 0840654422 Enrollment ID: I20230914003638 |
| Provider Name | Alyxandra N Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356910087 PECOS PAC ID: 3577951094 Enrollment ID: I20230915000424 |
| Provider Name | Kachine M Banahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306689518 PECOS PAC ID: 6709317902 Enrollment ID: I20240928000401 |
Memorial Health Clinic Aurora (rhc) Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 609 O St, Aurora, NE 68818 Phone: 402-694-3191 Fax: 402-694-2146 |
Balanced Vision, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 L St, Aurora, NE 68818 Phone: 402-631-8847 |