institution
City Of Genoa
Primary Care Clinic/Center in Genoa, Nebraska
NPI 1104859206

City Of Genoa is a Primary Care Clinic/Center based in Genoa, NE and is specialized in Primary Care. City Of Genoa practices in Genoa, NE. The NPI Number for City Of Genoa is 1104859206 and holds a License No. (Nebraska).

The current practice location address for City Of Genoa is 505 S Park St, Genoa, NE and can be reached out via phone at 402-993-2206 and via fax at 402-993-2595.

Location: 505 S Park St, Genoa, NE, 68640-3036
institution
Provider Profile Details
NPI Number
1104859206
Provider Name
City Of Genoa
Credential
Provider Entity Type
Organization
Address
505 S Park St, Genoa, NE, 68640-3036
Phone Number
402-993-2206
Fax Number
402-993-2595
Provider Enumeration Date
07/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NA RH 05 NE
10025924300 NRH 05 NE
273722254 01 NE COMMERCIAL
273722254 01 NE BLUE CROSS BLUE SHIELD
CS4410 01 NE RAILROAD MEDICARE
NA 01 NE CHAMPUS
institution
Provider Business Practice Location Address Details
Address
505 S Park St
City
State
Zip
68640-3036
Phone Number
402-993-2206
Fax Number
402-993-2595
person
Provider Business Mailing Address Details
Address
505 S Park St
City
State
Zip
68640-3036
Phone Number
402-993-2206
Fax Number
402-993-2595
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
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Definition
Definition to come...
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