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NPI Code Detail

MEDICARE: PLAINS HEART INSTITUTE, L.L.C.

MEDICARE: PLAINS HEART INSTITUTE, L.L.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
1207RC0000XCardiovascular Disease Physician

General Provider Information

NPI Number : 1578546750
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLAINS HEART INSTITUTE, L.L.C.
Provider Business Mailing Address
First Line : 3219 CENTRAL AVE
Second Line : SUITE 250
City : KEARNEY
State : NE
Zip : 68847-2949
Country : US
Telephone Number : 308-865-2263
Fax Number : 308-865-2541
Provider Business Practice Location Address
First Line : 3219 CENTRAL AVE
Second Line : SUITE 250
City : KEARNEY
State : NE
Zip : 68847-2949
Country : US
Telephone Number : 308-865-2263
Fax Number : 308-865-2541
Authorized Official
Title or Position : ADMINISTRATOR
Name : LARRY SPEICHER
Credential :
Telephone Number : 308-865-2263
Provider Enumeration Date : 11/22/2005
Last Update Date : 11/05/2009

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Directions to “PLAINS HEART INSTITUTE, L.L.C. ” Practice Location

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