Dale W Block (NPI# 1578579249, PAC ID# 2567598626) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
Nation Provider ID (NPI) | 1578579249 |
PAC ID by PECOS | 2567598626 |
Professional Enrollment ID | I20100327000412 |
Full Name | Dale W Block |
Address |
210 Broadway St Butte NE 68722-3067 |
Phone Number | 4027752355 |
Gender | M |
Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
Graduation Year | 1976 |
Primary Specialty | GENERAL PRACTICE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
281303 | NIOBRARA VALLEY HOSPITAL |
281329 | AVERA ST ANTHONY'S HOSPITAL |
Address | Phone | Organization |
---|---|---|
210 Broadway St, Butte, NE 68722-3067 | 4027752355 | |
317 W Ponca St, Lynch Medical Clinic, Lynch, NE 68746-0345 | 4025692741 |
Street Address |
210 BROADWAY ST |
City | BUTTE |
State | NE |
Zip | 68722-3067 |
City | BUTTE |
Zip Code | 68722 |
Specialty | GENERAL PRACTICE |
City + Specialty | BUTTE + GENERAL PRACTICE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.