| Sage Creek Integrative Health LLC | |
|
304 W 39th St Kearney NE 68845-2804 | |
| (308) 455-8255 | |
| Not Available |
| Full Name | Sage Creek Integrative Health LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 304 W 39th St, Kearney, Nebraska |
| Authorized Official Name and Position | Melinda S Barratt (MEMBER) |
| Authorized Official Contact | 3084558255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Creek Integrative Health LLC 304 W 39th St Kearney NE 68845-2804 Ph: (308) 455-8255 | Sage Creek Integrative Health LLC 304 W 39th St Kearney NE 68845-2804 Ph: (308) 455-8255 |
| NPI Number | 1861946790 |
|---|---|
| Provider Enumeration Date | 08/09/2016 |
| Last Update Date | 08/09/2016 |
| Medicare PECOS PAC ID | 8729374541 |
|---|---|
| Medicare Enrollment ID | O20160902001778 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861946790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Melinda Sue Barratt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225121361 PECOS PAC ID: 5799754255 Enrollment ID: I20040930000853 |
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