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Organization
MED-CARE, INC
Active
Organization
MED-CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J PAUL MEYER M.D. (PHYSICIAN)
(308) 398-1147
Entity
Organization
Contact information
Practice address
920 E 56TH, KEARNEY, NE 68847
(308) 237-9696
(308) 237-4517
Mailing address
603 N DIERS AVENUE, SUITE 2, GRAND ISLAND, NE 68803
(308) 398-1147
(308) 398-1149
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21104
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01463
BLUE CROSS BLUE SHIELD
NJ
01
—
099515
MEDICARE PTAN
NE
05
—
10025099800
—
NE
Enumeration date
04/28/2011
Last updated
04/28/2011
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