| Pender Medical Clinic Pcmh | |
|
958 Wellness Way Ste 1 Pender NE 68047-4518 | |
| (402) 385-3033 | |
| (402) 385-4041 |
| Full Name | Pender Medical Clinic Pcmh |
|---|---|
| Speciality | Family Medicine |
| Location | 958 Wellness Way Ste 1, Pender, Nebraska |
| Authorized Official Name and Position | Laura J Gamble (CEO) |
| Authorized Official Contact | 4023853083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pender Medical Clinic Pcmh Po Box 100 Pender NE 68047-0100 Ph: (402) 385-3033 | Pender Medical Clinic Pcmh 958 Wellness Way Ste 1 Pender NE 68047-4518 Ph: (402) 385-3033 |
| NPI Number | 1265092142 |
|---|---|
| Provider Enumeration Date | 06/13/2019 |
| Last Update Date | 10/17/2022 |
| Certification Date | 10/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265092142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 261QR1300X | Clinic/center - Rural Health | () | Secondary |
Pender Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 958 Wellness Way Ste 1, Pender, NE 68047 Phone: 402-385-3033 |
Pender Mercy Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Valley View Drive, Pender, NE 68047 Phone: 402-385-3033 Fax: 402-385-3092 |