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NPI Code Detail

MEDICARE: HEALTHSERVICESONE, P.C.

MEDICARE: HEALTHSERVICESONE, P.C.
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
1261QA1903XAmbulatory Surgical Clinic/Center76009NE

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2490004279OTHERNERAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3076009OTHERNESTATE LICENSE
432370OTHERNEBCBS

General Provider Information

NPI Number : 1568456903
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHSERVICESONE, P.C.
Provider Business Mailing Address
First Line : PO BOX 2168
Second Line : 3500 CENTRAL AVE SUITE C
City : KEARNEY
State : NE
Zip : 68848-2168
Country : US
Telephone Number : 308-865-2500
Fax Number : 308-865-2506
Provider Business Practice Location Address
First Line : 3500 CENTRAL AVE
Second Line : SUITE C
City : KEARNEY
State : NE
Zip : 68847-2944
Country : US
Telephone Number : 308-865-2500
Fax Number : 308-865-2506
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : CHRIS E WILKINSON
Credential : M.D.
Telephone Number : 308-865-2500
Provider Enumeration Date : 08/31/2005
Last Update Date : 08/17/2018

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1255325635 — HEALTHSERVICESONE PC
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Practice Fax: 308-865-2506

Directions to “HEALTHSERVICESONE, P.C. ” Practice Location

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