BERTRAND HEALTH CLINIC, LLC (NPI# 1174824049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174824049 |
| Entity Type | Organization |
| Organization Name | BERTRAND HEALTH CLINIC, LLC |
| Practice Address |
402 Minor Ave Bertrand NE 68927-1234 |
| Mailing Address |
402 Minor Ave Po Box 444 Bertrand NE 68927-1234 |
| Practice Telephone | 3084721472 |
| Practice Fax Number | 3084721471 |
| Mailing Telephone | 3084721472 |
| Mailing Fax Number | 3084721471 |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-11-24 |
| Authorized Official Name | RUBY JOAN HOUCK (OWNER OPERATOR) |
| Authorized Official Telephone | 3084721472 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
110285 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BLU CROSS AND BLUE SHIELD | 38615 | 01 |
| Street Address |
402 MINOR AVE |
| City | BERTRAND |
| State | NE |
| Zip Code | 68927-1234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093212169 | Lexington Regional Health Center | Family Medicine | 402 Minor Ave, Bertrand, NE 68927-1234 | 2018-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033142799 | Ruby J Houck | Nurse Practitioner | 402 Minor Avenue, Bertrand, NE 68927 | 2006-07-08 |
| 1811497050 | Jennifer Louise Sand | Registered Nurse | 503 School St, Bertrand, NE 68927-1206 | 2018-02-14 |
| 1295029676 | Mary Jane Gardine | Licensed Practical Nurse | 10438 744 Rd, Bertrand, NE 68927-3561 | 2011-06-03 |
| 1912252214 | Oral Health Impact | Dental Hygienist | 408 Montrose Ave, Bertrand, NE 68927-3801 | 2012-07-23 |
| 1184974388 | Roxanne Denny-mickey | Dental Hygienist | 408 Montrose Ave, Bertrand, NE 68927-3801 | 2012-09-14 |
| 1821601295 | Bertrand Rural Fire Protection District 2 | Ambulance | 516 Minor Ave, Bertrand, NE 68927-3840 | 2020-08-26 |
| 1083867774 | Village of Bertrand | Ambulance | 507 Minor Ave, Bertrand, NE 68927-3840 | 2008-10-28 |
| 1447863519 | Bertrand Rural Fire Protection District 2 | Ambulance | 516 Minor Ave, Bertrand, NE 68927-3840 | 2020-08-28 |
| 1659412047 | Bertrand Nursing Home | Assisted Living Facility | 100 Minor Ave, Bertrand, NE 68927-9546 | 2007-02-09 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033142799 | Ruby J Houck | Nurse Practitioner | 402 Minor Avenue, Bertrand, NE 68927 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508465048 | Lisa J Lehr | Nurse Practitioner | 6336 John J Pershing Dr Fl Lozier2, Omaha, NE 68110-1100 | 2020-10-24 |
| 1154929230 | Chelsea Lynae Jones | Nurse Practitioner | 75 Highway 77, Winnebago, NE 68071-5001 | 2020-10-12 |
| 1144837899 | Kristine Ellen Follett | Nurse Practitioner | 5900 Spruce St, Lincoln, NE 68516-1425 | 2020-09-27 |
| 1629683719 | Jessica Leigh Queen | Nurse Practitioner | 6818 N 102nd Avenue Cir, Omaha, NE 68122-3009 | 2020-09-15 |
| 1023623451 | Kayla Hallock | Nurse Practitioner | 3740 N 27th St Ste 1, Lincoln, NE 68521-4162 | 2020-09-11 |
| 1598379844 | Austin Keith Gydesen | Nurse Practitioner | 1022 Pacific St, Cambridge, NE 69022-3517 | 2020-09-03 |
| 1255944930 | Taylor Marjorie Feilmeier | Nurse Practitioner | 56338 881 Rd, Hartington, NE 68739-4021 | 2020-08-24 |
| 1639780414 | Nicolette R Lovitt | Nurse Practitioner | 14721 Stone Ave, Omaha, NE 68116-4323 | 2020-08-13 |
| 1376153197 | Matilda R Beaudette | Nurse Practitioner | 11108 Hilltop Ave, Omaha, NE 68164-2273 | 2020-08-06 |
| 1508476847 | Deann Marie Mcclellan | Nurse Practitioner | 22625 130th Rd, Riverdale, NE 68870-7105 | 2020-08-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.