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Organization

CRETE AREA MEDICAL CENTER

Active
Parent organization
CRETE AREA MEDICAL CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
CRETE AREA MEDICAL CENTER
Authorized official
JULIE LACY (PRESIDENT & CEO)
(402) 826-2102
Entity
Organization

Contact information

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

Taxonomy

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

Other

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
Enumeration date
05/15/2006
Last updated
11/25/2024
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