| Country Clinics Pc | |
|
1102 Water St St Edward NE 68660-0167 | |
| (402) 678-2232 | |
| (402) 678-2234 |
| Full Name | Country Clinics Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1102 Water St, St Edward, Nebraska |
| Authorized Official Name and Position | Joyce A Troyer (CORPORATION SECRETARY) |
| Authorized Official Contact | 4026782232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Country Clinics Pc Po Box F St Edward NE 68660-0167 Ph: (402) 678-2232 | Country Clinics Pc 1102 Water St St Edward NE 68660-0167 Ph: (402) 678-2232 |
| NPI Number | 1225063266 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 09/26/2022 |
| Medicare PECOS PAC ID | 3870575806 |
|---|---|
| Medicare Enrollment ID | O20040603000825 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225063266 | NPI | - | NPPES |
| 10025570200 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 28D0455470 (Nebraska) | Primary |
| Provider Name | Terry L Troyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326031212 PECOS PAC ID: 2365418787 Enrollment ID: I20040908000268 |
| Provider Name | Joyce Troyer |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1306839295 PECOS PAC ID: 2163426792 Enrollment ID: I20100121000166 |