| North Lincoln Family Medical Center Pc | |
|
3100 N 14th St Ste 201 Lincoln NE 68521-2134 | |
| (402) 477-6600 | |
| (402) 477-7369 |
| Full Name | North Lincoln Family Medical Center Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3100 N 14th St, Lincoln, Nebraska |
| Authorized Official Name and Position | Charles L Kreshel (PRESIDENT) |
| Authorized Official Contact | 4024776600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Lincoln Family Medical Center Pc 3100 N 14th St Ste 201 Lincoln NE 68521-2134 Ph: (402) 477-6600 | North Lincoln Family Medical Center Pc 3100 N 14th St Ste 201 Lincoln NE 68521-2134 Ph: (402) 477-6600 |
| NPI Number | 1629260336 |
|---|---|
| Provider Enumeration Date | 08/16/2007 |
| Last Update Date | 09/14/2010 |
| Medicare PECOS PAC ID | 2961438890 |
|---|---|
| Medicare Enrollment ID | O20050712001138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629260336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Trishia Marie Frost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417979774 PECOS PAC ID: 2163459694 Enrollment ID: I20050726000764 |
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