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Organization

DONALD C WELDON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARMEN A MCKEEVER (CLINIC MANAGER)
(402) 228-3545
Entity
Organization

Contact information

Practice address
1201 N 10TH ST, BEATRICE, NE 68310-2003
(402) 228-3545
(402) 228-3826
Mailing address
1201 N 10TH ST, BEATRICE, NE 68310-2003
(402) 228-3545
(402) 228-3826

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16679
NE
261QR1300X
Rural Health Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00733
BLUE CROSS BLUE SHIELD
NE
Enumeration date
09/12/2007
Last updated
09/03/2013
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