Organization
IVY STREET MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARLA E DAMGAARD APRN (OWNER)
(402) 439-5500
Entity
Organization
Contact information
Practice address
902 IVY ST, STANTON, NE 68779-2348
(402) 439-5500
(402) 439-5502
Mailing address
PO BOX 47, STANTON, NE 68779-0047
(402) 439-5500
(402) 439-5502
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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