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General NPI Number Information
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NPI Number | 1518918408
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Entity Type | Organization
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Legal Business Name | CRETE AREA MEDICAL CENTER
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 2910 BETTEN DR
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City | CRETE
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State | NE
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Zip | 68333-3084
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Country | US
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Telephone | 402-826-2102
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Fax | 402-826-7950
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Provider Business Mailing Address
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Address Line | PO BOX 860873
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City | MINNEAPOLIS
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State | MN
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Zip | 55486-0873
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Country | US
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Telephone | 402-826-2102
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Fax | 402-826-7950
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | JULIE LACY
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Credential |
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Telephone | 402-826-2102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 670001
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 670001
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License Number State | NE
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