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Organization
HANSEN MEDICAL PC
Active
Organization
HANSEN MEDICAL PC
Active
Other names
Hansen Medical PC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE L REIMERS CMOM (OFFICE MANAGER)
(308) 381-8546
Entity
Organization
Contact information
Practice address
3016 W FAIDLEY AVE, GRAND ISLAND, NE 68803
(308) 381-8546
(308) 381-8550
Mailing address
3016 W FAIDLEY AVE, GRAND ISLAND, NE 68803
(308) 381-8546
(308) 381-8550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00998
BCBS
—
01
—
080104974
RAILROAD MEDICARE
NE
01
—
080183038
RAILROAD MEDICARE
NE
05
—
10025353400
—
NE
05
—
10025386100
—
NE
01
—
267431
IND
MA
01
—
272911
IND
—
01
—
275317
IND
—
01
—
35930
BCBS
—
01
—
38552
BCBS
—
01
—
970015612
RAILROAD MEDICARE
NE
Enumeration date
07/30/2006
Last updated
03/03/2010
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