| Merrick Medical Center | |
|
2802 28th St Central City NE 68826-2707 | |
| (308) 946-3015 | |
| (308) 946-5914 |
| Full Name | Merrick Medical Center |
|---|---|
| Speciality | Emergency Medicine |
| Location | 2802 28th St, Central City, Nebraska |
| Authorized Official Name and Position | Jodi S Mohr (CEO) |
| Authorized Official Contact | 4029463015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Merrick Medical Center Po Box 860874 Minneapolis MN 55486-0874 Ph: (308) 946-3015 | Merrick Medical Center 2802 28th St Central City NE 68826-2707 Ph: (308) 946-3015 |
| NPI Number | 1790216174 |
|---|---|
| Provider Enumeration Date | 03/27/2017 |
| Last Update Date | 07/24/2024 |
| Medicare PECOS PAC ID | 9537445812 |
|---|---|
| Medicare Enrollment ID | O20170512000681 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790216174 | NPI | - | NPPES |
| Provider Name | Brian K Buhlke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598870255 PECOS PAC ID: 5890696785 Enrollment ID: I20041209000864 |
| Provider Name | Richard B Koefoot |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003896010 PECOS PAC ID: 1658359328 Enrollment ID: I20050819000263 |
| Provider Name | Jeffrey E Jarrett |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023026663 PECOS PAC ID: 2163431420 Enrollment ID: I20060413000509 |
| Provider Name | Brett C Hill |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649498403 PECOS PAC ID: 5597816769 Enrollment ID: I20090629000415 |
| Provider Name | Traci A Dieckmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881958015 PECOS PAC ID: 4789831405 Enrollment ID: I20150803001174 |
| Provider Name | Blake A Cover |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225484934 PECOS PAC ID: 6103111455 Enrollment ID: I20171024003371 |
| Provider Name | Swathi Lavudi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1114367547 PECOS PAC ID: 9931496106 Enrollment ID: I20180710002446 |
| Provider Name | Jennifer G Dwyer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033524640 PECOS PAC ID: 1658590799 Enrollment ID: I20190828001783 |
| Provider Name | Ryan Thomas Santin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649698523 PECOS PAC ID: 1658590088 Enrollment ID: I20200716001136 |
| Provider Name | Shelby N Gowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811583941 PECOS PAC ID: 4981017829 Enrollment ID: I20210113001946 |
| Provider Name | Richard L Poppe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467012468 PECOS PAC ID: 6002146966 Enrollment ID: I20220913003609 |
Litzenberg Memorial Merrick County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2510 18th Ave, Central City, NE 68826 Phone: 308-946-3845 Fax: 308-946-2357 | |
Merrick County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1715 26th St, Central City, NE 68826 Phone: 308-946-3015 Fax: 308-946-5914 | |
Litzenberg Memorial Merrick County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2510 18th Ave, Central City, NE 68826 Phone: 308-946-3845 | |
Merrick Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2802 28th St Ste 100, Central City, NE 68826 Phone: 308-946-3845 |