Organization
MISSOURI PIMC
Active
Organization
MISSOURI PIMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LUND (ADMINISTRATIOR)
(661) 345-5835
Entity
Organization
Contact information
Practice address
11416 S 44TH ST, BELLEVUE, NE 68123-1029
(661) 345-5825
(608) 557-8410
Mailing address
11416 S 44TH ST, BELLEVUE, NE 68123-1029
(661) 345-5825
(608) 557-8410
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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