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Organization

HASTINGS CONVENIENT CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREA D CLEMENT PA-C (CO-OWNER)
(402) 463-6300
Entity
Organization

Contact information

Practice address
208 S BURLINGTON AVE, STE. 108, HASTINGS, NE 68901-5904
(402) 463-6300
(402) 834-0665
Mailing address
208 S BURLINGTON AVE, STE. 108, HASTINGS, NE 68901-5904
(402) 463-6300
(402) 834-0665

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
363L00000X
Nurse Practitioner
110737
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025859600
NE
01
10692134
STATE TAX ID
NE
Enumeration date
04/12/2010
Last updated
10/13/2010
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