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NPI Code Detail

MEDICARE: AMY METSCHKE

MEDICARE: AMY METSCHKE
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
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1922522986
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMY METSCHKE
Provider Business Mailing Address
First Line : 2979 LITTLE SALT RD
Second Line :
City : SEWARD
State : NE
Zip : 68434-7803
Country : US
Telephone Number : 402-646-2240
Fax Number :
Provider Business Practice Location Address
First Line : 128 N 6TH ST STE F
Second Line :
City : SEWARD
State : NE
Zip : 68434-2072
Country : US
Telephone Number : 402-646-0103
Fax Number :
Authorized Official
Title or Position : LADC
Name : AMY METSCHKE
Credential :
Telephone Number : 402-646-0103
Provider Enumeration Date : 08/01/2017
Last Update Date : 08/01/2017

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Directions to “AMY METSCHKE ” Practice Location

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