| West Holt Medical Clinic | |
|
405 W Pearl St Atkinson NE 68713-4882 | |
| (402) 925-2631 | |
| (402) 925-2914 |
| Full Name | West Holt Medical Clinic |
|---|---|
| Speciality | General Practice |
| Location | 405 W Pearl St, Atkinson, Nebraska |
| Authorized Official Name and Position | Jeremy Bauer (CFO) |
| Authorized Official Contact | 4029251947 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Holt Medical Clinic Po Box 458 Atkinson NE 68713-0458 Ph: (402) 925-2631 | West Holt Medical Clinic 405 W Pearl St Atkinson NE 68713-4882 Ph: (402) 925-2631 |
| NPI Number | 1366492472 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 12/17/2021 |
| Certification Date | 12/17/2021 |
| Medicare PECOS PAC ID | 2264419878 |
|---|---|
| Medicare Enrollment ID | O20040701000936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366492472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | () | Secondary |
| Provider Name | John D Tubbs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104812270 PECOS PAC ID: 5395638340 Enrollment ID: I20040204000659 |
| Provider Name | Douglas M Laflan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821045824 PECOS PAC ID: 5193628170 Enrollment ID: I20060403000787 |
| Provider Name | Jeanne M Laible |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013967223 PECOS PAC ID: 3971695321 Enrollment ID: I20070815000637 |
| Provider Name | Loretta K Daniels |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992941157 PECOS PAC ID: 6709933062 Enrollment ID: I20090402000669 |
| Provider Name | April J Dexter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780813097 PECOS PAC ID: 3779637525 Enrollment ID: I20090813000587 |
| Provider Name | Amy a Rentschler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285960062 PECOS PAC ID: 9032377494 Enrollment ID: I20120215000317 |
| Provider Name | Jacob L Runyan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881022960 PECOS PAC ID: 2163650078 Enrollment ID: I20140122000235 |
| Provider Name | Demetrio Juan Aguila |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376503391 PECOS PAC ID: 0547366403 Enrollment ID: I20140625000752 |
| Provider Name | Steven H Carlsen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700017407 PECOS PAC ID: 1951571611 Enrollment ID: I20140625002457 |
| Provider Name | Bree S Almgren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962758151 PECOS PAC ID: 6800044884 Enrollment ID: I20140715000468 |
| Provider Name | Amelia Mccumber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124485321 PECOS PAC ID: 7416251178 Enrollment ID: I20160201002237 |
| Provider Name | Jonathan Dean Gotschall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285082461 PECOS PAC ID: 5799070470 Enrollment ID: I20160819000143 |
| Provider Name | Blake a Cover |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225484934 PECOS PAC ID: 6103111455 Enrollment ID: I20171024003371 |
| Provider Name | Jacob C Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679954028 PECOS PAC ID: 5294040275 Enrollment ID: I20180507000732 |
| Provider Name | Samantha Lee Sholes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457889792 PECOS PAC ID: 6709150980 Enrollment ID: I20201013003456 |
| Provider Name | Joel J Welshons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699188714 PECOS PAC ID: 4486062981 Enrollment ID: I20210422000836 |
| Provider Name | Jordan E Kunz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437723202 PECOS PAC ID: 3072911858 Enrollment ID: I20240809003479 |
| Provider Name | Breanna Fiene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477445005 PECOS PAC ID: 9830691963 Enrollment ID: I20250908000664 |
Greater Sandhills Family Healthcare, PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 418 E 5th St, Atkinson, NE 68713 Phone: 402-925-2994 Fax: 402-925-2996 |