| Ncmc Specialty Clinic | |
|
2601 N Spruce St Ogallala NE 69153-2465 | |
| (970) 392-0900 | |
| Not Available |
| Full Name | Ncmc Specialty Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2601 N Spruce St, Ogallala, Nebraska |
| Authorized Official Name and Position | Dennis Laraway (CFO) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ncmc Specialty Clinic 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Ncmc Specialty Clinic 2601 N Spruce St Ogallala NE 69153-2465 Ph: (970) 392-0900 |
| NPI Number | 1225315898 |
|---|---|
| Provider Enumeration Date | 11/10/2011 |
| Last Update Date | 12/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225315898 | NPI | - | NPPES |
| 83634525 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Perkins County Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 221 E 10th St, Ogallala, NE 69153 Phone: 308-284-8421 | |
Banner Hospital Based Physicians West Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2601 N Spruce St, Ogallala, NE 69153 Phone: 308-284-4011 | |
Myc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 E 2nd St, Ogallala, NE 69153 Phone: 308-284-9839 Fax: 308-284-4120 | |
Banner Health Physicians West Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2601 N Spruce St, Ogallala, NE 69153 Phone: 308-284-3645 | |
Ogallala Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 N Spruce St, Ogallala, NE 69153 Phone: 308-284-3645 | |
Ogallala Community Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2601 N Spruce St Ste A, Ogallala, NE 69153 Phone: 308-284-3645 Fax: 308-284-2721 |