Organization
ELKHORN VALLEY FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY LEISY (OFFICE MANAGER)
(402) 336-4222
Entity
Organization
Contact information
Practice address
304 E DOUGLAS ST, ONEILL, NE 68763-1830
(402) 336-4222
(402) 336-4228
Mailing address
304 E DOUGLAS ST, ONEILL, NE 68763-1830
(402) 336-4222
(402) 336-4228
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025080400
—
NE
Enumeration date
08/11/2005
Last updated
02/20/2025
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