# CRETE AREA MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CRETE AREA MEDICAL CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1245281138
- **Legal business name:** CRETE AREA MEDICAL CENTER
- **Authorized official:** JULIE LACY (PRESIDENT & CEO)
- **Authorized official phone:** (402) 826-2102

## Contact information

- **Practice address:** 2910 BETTEN DR, CRETE, NE 68333-3084
- **Practice address phone:** (402) 826-2102
- **Practice address fax:** (402) 826-7950
- **Mailing address:** PO BOX 860873, MINNEAPOLIS, MN 55486-0873
- **Mailing address phone:** (402) 826-2102
- **Mailing address fax:** (402) 826-7950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 163WD0400X | Diabetes Educator Registered Nurse | — | NULL | — |
| 163WD0400X | Diabetes Educator Registered Nurse | — | — | — |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | — |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 05/15/2006
- **Last updated:** 11/25/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 08802 | BCBS OF NEBRASKA | NE |
| 01 | — | 35536 | BCBS OF NEBRASKA | NE |
| 01 | — | 38175 | BCBS OF NEBRASKA | NE |
| 01 | — | 81078 | BCBS OF NEBRASKA | NE |
| 01 | — | CJ5613 | RAILROAD MEDICARE | NE |