Ivy Street Medical LLC

NPI #1487806147 in Stanton, Nebraska

Provider Information

NPI Number
1487806147
Entity Type
Organization
Organization Name
Ivy Street Medical LLC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Oct 14, 2008
Last Updated
Oct 14, 2008

Practice Location

Address
902 IVY ST
ZIP Code
68779-2348
Phone
(402) 439-5500

Authorized Official

Name
MRS. KARLA E DAMGAARD, APRN
Title
OWNER
Phone
(402) 439-5500

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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