| Ravenna Medical Clinic Pc | |
|
104 W Seneca St Ravenna NE 68869 | |
| (308) 452-3203 | |
| (308) 452-3795 |
| Full Name | Ravenna Medical Clinic Pc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 104 W Seneca St, Ravenna, Nebraska |
| Authorized Official Name and Position | Ryan Lieske (PHYSICIAN ASSISTANT/OWNER) |
| Authorized Official Contact | 3084523203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ravenna Medical Clinic Pc 611 W Seneca St Ravenna NE 68869-1200 Ph: (308) 452-3203 | Ravenna Medical Clinic Pc 104 W Seneca St Ravenna NE 68869 Ph: (308) 452-3203 |
| NPI Number | 1851812721 |
|---|---|
| Provider Enumeration Date | 06/30/2017 |
| Last Update Date | 07/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851812721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
First Care Medical, Pc Of Ravenna Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 W Seneca St, Ravenna, NE 68869 Phone: 308-236-7016 Fax: 308-236-7027 | |
Heartland Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 W Seneca St, Ravenna, NE 68869 Phone: 308-382-4297 |