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Organization

BELLEVUE HEALTH AND EMERGENCY CLINIC, INC.

Active
Other names
BELLEVUE HEALTH CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARY LOU CLARK CARHART (PRESIDENT/ADMINISTRATOR)
(402) 292-4164
Entity
Organization

Contact information

Practice address
1002 W MISSION AVE, BELLEVUE, NE 68005-3947
(402) 292-4164
(402) 291-4643
Mailing address
1002 W MISSION AVE, BELLEVUE, NE 68005-3947
(402) 292-4164
(402) 291-4643

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
15162
NE
208600000X
Surgery Physician
15162
NE
208D00000X
General Practice Physician
Primary
15162
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0996926
IA
Enumeration date
02/22/2008
Last updated
10/21/2015
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