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NPI Code Detail

MEDICARE: LOUP CITY HEALTH CARE INC

MEDICARE: LOUP CITY HEALTH CARE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility744001NE

General Provider Information

NPI Number : 1225146251
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOUP CITY HEALTH CARE INC
Provider Business Mailing Address
First Line : RR 2 BOX 46
Second Line :
City : LOUP CITY
State : NE
Zip : 68853-9660
Country : US
Telephone Number : 308-745-0303
Fax Number : 308-745-0253
Provider Business Practice Location Address
First Line : 1005 N 8TH ST
Second Line :
City : LOUP CITY
State : NE
Zip : 68853-8215
Country : US
Telephone Number : 308-745-0303
Fax Number : 308-745-0253
Authorized Official
Title or Position : PRESIDENT
Name : JACK DEAN VETTER
Credential :
Telephone Number : 402-895-3932
Provider Enumeration Date : 08/29/2006
Last Update Date : 12/03/2008

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Directions to “LOUP CITY HEALTH CARE INC ” Practice Location

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