Organization
COUNTRY CLINICS PC
Active
Other names
St Edward Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE A TROYER MD (CORPORATION SECRETARY)
(402) 678-2232
Entity
Organization
Contact information
Practice address
1102 WATER ST, ST EDWARD, NE 68660-0167
(402) 678-2232
(402) 678-2234
Mailing address
PO BOX F, ST EDWARD, NE 68660-0167
(402) 678-2232
(402) 678-2234
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
28D0455470
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025570200
—
NE
Enumeration date
07/11/2006
Last updated
09/26/2022
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