# HANSEN MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hansen Medical PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851306583
- **Authorized official:** MRS. CONNIE L REIMERS CMOM (OFFICE MANAGER)
- **Authorized official phone:** (308) 381-8546

## Contact information

- **Practice address:** 3016 W FAIDLEY AVE, GRAND ISLAND, NE 68803
- **Practice address phone:** (308) 381-8546
- **Practice address fax:** (308) 381-8550
- **Mailing address:** 3016 W FAIDLEY AVE, GRAND ISLAND, NE 68803
- **Mailing address phone:** (308) 381-8546
- **Mailing address fax:** (308) 381-8550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 03/03/2010

## 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 |