RAVENNA MEDICAL CLINIC PC (NPI# 1851812721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851812721 |
| Entity Type | Organization |
| Organization Name | RAVENNA MEDICAL CLINIC PC |
| Practice Address |
104 W Seneca St Ravenna NE 68869 |
| Mailing Address |
611 W Seneca St Ravenna NE 68869-1200 |
| Practice Telephone | 3084523203 |
| Practice Fax Number | 3084523795 |
| Mailing Telephone | 3084523203 |
| Mailing Fax Number | 3084523795 |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2017-07-14 |
| Authorized Official Name | RYAN LIESKE (PHYSICIAN ASSISTANT/OWNER) |
| Authorized Official Telephone | 3084523203 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Street Address |
104 W SENECA ST |
| City | RAVENNA |
| State | NE |
| Zip Code | 68869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821040536 | Ryan J Lieske | Physician Assistant | 104 W Seneca St, Ravenna, NE 68869-1363 | 2006-05-17 |
| 1699305896 | Heartland Health Center, Inc | Clinic/Center | 104 W Seneca St, Ravenna, NE 68869-1363 | 2020-01-16 |
| 1215171624 | First Care Medical, PC | Clinic/Center | 104 W Seneca St, Ravenna, NE 68869-1363 | 2009-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942417852 | Family Physical Therapy & Sports Center | Physical Therapist | 321 Grand Ave, Ravenna, NE 68869 | 2007-05-17 |
| 1528280542 | Brooke Joel Wright | Counselor | 301 W Sherman St, Ravenna, NE 68869-1024 | 2007-05-02 |
| 1417408626 | Karen Flessner | Licensed Practical Nurse | 821 Buell Ave, Ravenna, NE 68869-1071 | 2016-10-23 |
| 1457644577 | Seneca Sunrise LLC | Assisted Living Facility | 710 Grand Ave, Ravenna, NE 68869-1100 | 2011-05-23 |
| 1104807098 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 411 W Genoa St, Ravenna, NE 68869-1213 | 2005-11-08 |
| 1083676860 | City of Ravenna | Ambulance | 416 Verona Ave, Ravenna, NE 68869-1240 | 2006-04-05 |
| 1114061751 | Terry Wayne Teichmeier | Chiropractor | 316 Grand Ave # 73, Ravenna, NE 68869-1322 | 2007-02-16 |
| 1033151329 | Svanda Pharmacy Inc | Pharmacy | 314 Grand Ave, Ravenna, NE 68869-1322 | 2006-06-12 |
| 1003175837 | Jane Lea Wachter | Dentist | 102 W Seneca St, Ravenna, NE 68869-1363 | 2012-05-14 |
| 1396947032 | James Lee Trambly | Dentist | 102 W Seneca St, Ravenna, NE 68869-1363 | 2007-06-04 |
| Find all providers in zip 68869 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366962706 | Ogallala Community Hospital | Clinic/Center | 2601 N Spruce St Ste A, Ogallala, NE 69153-2465 | 2017-06-27 |
| 1104228451 | Lexington Regional Health Center | Clinic/Center | 1105 N Erie St, Lexington, NE 68850-1504 | 2014-09-18 |
| 1255761631 | Kimball County Hospital | Clinic/Center | 922 1/2 Sherman Street, Potter, NE 69156-0163 | 2013-11-20 |
| 1629344692 | Avera St Anthonys Hospital | Clinic/Center | 103 S Thayer St, Spencer, NE 68777-9784 | 2012-03-23 |
| 1003182072 | Avera St Anthonys Hospital | Clinic/Center | 202 Nebraska St, Ewing, NE 68735-9513 | 2012-03-23 |
| 1477827244 | Cheyenne County Hospital Association Inc | Clinic/Center | 562 Vincent Ave, Chappell, NE 69129-9713 | 2012-02-27 |
| 1356676761 | Oakland Mercy Hospital | Clinic/Center | 600 E Fulton St, Hooper, NE 68031-3074 | 2009-10-03 |
| 1659528412 | Regional West Physicians Clinic | Clinic/Center | 302 Center Ave, Morrill, NE 69358-3017 | 2008-08-25 |
| 1073776886 | Minden Family Practice Clinic Inc | Clinic/Center | 345 N Minden Ave, Minden, NE 68959-1657 | 2008-07-02 |
| 1922269828 | Chadron Community Hospital Corp. | Clinic/Center | 11 Paddock St, Crawford, NE 69339-1143 | 2008-06-23 |
| Find all providers with the same taxonomy | ||||
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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.