| Regional West Garden County | |
|
1100 W 2nd St Ste 100 Oshkosh NE 69154-6152 | |
| (308) 772-3283 | |
| (308) 772-3284 |
| Full Name | Regional West Garden County |
|---|---|
| Speciality | Clinic/Center |
| Location | 1100 W 2nd St, Oshkosh, Nebraska |
| Authorized Official Name and Position | Bradley C Howell (CEO) |
| Authorized Official Contact | 3087723283 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regional West Garden County 1100 W 2nd St Ste 100 Oshkosh NE 69154-6152 Ph: (308) 772-3283 | Regional West Garden County 1100 W 2nd St Ste 100 Oshkosh NE 69154-6152 Ph: (308) 772-3283 |
| NPI Number | 1336552280 |
|---|---|
| Provider Enumeration Date | 06/09/2014 |
| Last Update Date | 06/16/2020 |
| Medicare PECOS PAC ID | 3971502873 |
|---|---|
| Medicare Enrollment ID | O20110727000756 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336552280 | NPI | - | NPPES |
| Provider Name | Holly F Dobrinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588893317 PECOS PAC ID: 2860546686 Enrollment ID: I20090813000375 |
| Provider Name | David P Cornutt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508928813 PECOS PAC ID: 5799870663 Enrollment ID: I20120622000644 |
| Provider Name | Laurie L Soper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558622548 PECOS PAC ID: 8628224722 Enrollment ID: I20120806000312 |
| Provider Name | Crystal S Leach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184935355 PECOS PAC ID: 6204151467 Enrollment ID: I20150210001507 |
| Provider Name | Haley M Hays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346766748 PECOS PAC ID: 3274808068 Enrollment ID: I20171004001508 |
| Provider Name | Darian Nordhues |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255979209 PECOS PAC ID: 7416383153 Enrollment ID: I20200129000196 |
| Provider Name | Jacqueline M Stanzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104465491 PECOS PAC ID: 4688001464 Enrollment ID: I20200218001280 |
| Provider Name | Rolf E Kirby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548279532 PECOS PAC ID: 1557469111 Enrollment ID: I20200329000473 |
| Provider Name | Derek L Peckham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386374163 PECOS PAC ID: 5294118105 Enrollment ID: I20231017001410 |
Banner Health Physicians West Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 W 2nd St, Oshkosh, NE 69154 Phone: 308-772-3283 Fax: 308-772-1038 | |
Main Street Medical Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 310 Main St, Oshkosh, NE 69154 Phone: 308-772-0164 |