RAVENNA MEDICAL CLINIC PC; NPI #1851812721

Contact Information

RAVENNA MEDICAL CLINIC PC

104 W SENECA ST
RAVENNA, NE 68869

Phone: 308-452-3203
Fax: 308-452-3795
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for RAVENNA MEDICAL CLINIC PC

NPI #	`1851812721`
LBN Legal business name	RAVENNA MEDICAL CLINIC PC
Authorized official	RYAN LIESKE - (PHYSICIAN ASSISTANT/OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/30/2017
Last updated	07/14/2017 - About 9 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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RAVENNA MEDICAL CLINIC PC

Contact Information

Specialty

Rural Health

NPI Profile & details for RAVENNA MEDICAL CLINIC PC

Reviews for RAVENNA MEDICAL CLINIC PC