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RAVENNA MEDICAL CLINIC PC NPI 1851812721


NPI Information

NPI: 1851812721
Provider Name: RAVENNA MEDICAL CLINIC PC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
104 W SENECA ST
RAVENNA, NE
ZIP 68869
Phone: (308) 452-3203
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RAVENNA MEDICAL CLINIC PC is a rural health clinic center in Ravenna, NE. RAVENNA MEDICAL CLINIC PC NPI is 1851812721. The provider is registered as an organization entity type.

The provider's business location address is:

104 W SENECA ST
RAVENNA, NE
ZIP 68869
Phone: (308) 452-3203
Fax: (308) 452-3795

The provider's authorized official is Ryan Lieske .
The authorized official title is Physician Assistant/owner and has the following contact phone number (308) 452-3203.

The enumeration date for this NPI number is 6/30/2017 and was last updated on 7/14/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR1300XClinic/CenterRural HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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