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Gothenburg Family Practice Rural Health Clinic Llc
Clinic/Center in Gothenburg, Nebraska
NPI 1639401508

Gothenburg Family Practice Rural Health Clinic Llc is a Clinic/Center based in Gothenburg, NE. Gothenburg Family Practice Rural Health Clinic Llc practices in Gothenburg, NE. The NPI Number for Gothenburg Family Practice Rural Health Clinic Llc is 1639401508 and holds a License No. 10025929400 (Nebraska).

The current practice location address for Gothenburg Family Practice Rural Health Clinic Llc is 918 20Th Street, Gothenburg, NE and can be reached out via phone at 308-537-7131 and via fax at 308-537-7310.

Location: 918 20Th Street, Gothenburg, NE, 69138-1237
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639401508
Provider Name
Gothenburg Family Practice Rural Health Clinic Llc
Credential
Provider Entity Type
Organization
Address
918 20Th Street, Gothenburg, NE, 69138-1237
Phone Number
308-537-7131
Fax Number
308-537-7310
Provider Enumeration Date
02/03/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10025929400 05 NE
60387 01 NE BC/BS
60387 01 BC/BS
institution
Provider Business Practice Location Address Details
Address
918 20Th Street
City
Gothenburg
State
Nebraska
Zip
69138-1237
Phone Number
308-537-7131
Fax Number
308-537-7310
person
Provider Business Mailing Address Details
Address
918 20Th Street
City
Gothenburg
State
Nebraska
Zip
69138-1237
Phone Number
308-537-7131
Fax Number
308-537-7310
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
10025929400 (Nebraska)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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