Christopher L Lundberg (NPI# 1124258702, PAC ID# 4587820055) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1124258702 |
| PAC ID by PECOS | 4587820055 |
| Professional Enrollment ID | I20150514000238 |
| Full Name | Christopher L Lundberg |
| Organization Legal Name | FIRST CARE CLINIC INC |
| Address |
208 Marc Wagner Dr Victoria KS 67671-9589 |
| Phone Number | 7857353710 |
| Gender | M |
| Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 8820149834 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170013 | HAYS MEDICAL CENTER |
| 171350 | RUSSELL REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 105 W 13th St, Hays, KS 67601-3082 | 785621499023 | FIRST CARE CLINIC INC |
| 208 Marc Wagner Dr, Victoria, KS 67671-9589 | 7857353710 | FIRST CARE CLINIC INC |
| Organization Legal Name | FIRST CARE CLINIC INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Van Der Wege | Nurse Practitioner | First Care Clinic Inc | 208 Marc Wagner Dr, Victoria, KS 67671-9589 |
| Dawn N Knapp | Nurse Practitioner | First Care Clinic Inc | 105 W 13th St, Hays, KS 67601-3082 |
| Jillian M Kuhlmann | Nurse Practitioner | First Care Clinic Inc | 105 W 13th St, Hays, KS 67601-3082 |
| Susan K Pfannenstiel | Nurse Practitioner | First Care Clinic Inc | 105 W 13th St, Hays, KS 67601-3082 |
| Anne N Spray | Nurse Practitioner | First Care Clinic Inc | 105 W 13th St, Hays, KS 67601-3082 |
| Kala I Hillery | Nurse Practitioner | First Care Clinic Inc | 105 W 13th St, Hays, KS 67601-3082 |
| Christine M Fisher | Family Medicine | First Care Clinic Inc | 105 W 13th St, Hays, KS 67601-3082 |
| Tosha D Garrison | Nurse Practitioner | First Care Clinic Inc | 105 W 13th St, Hays, KS 67601-3082 |
| Street Address |
208 MARC WAGNER DR |
| City | VICTORIA |
| State | KS |
| Zip | 67671-9589 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Van Der Wege | Nurse Practitioner | First Care Clinic Inc | 208 Marc Wagner Dr, Victoria, KS 67671-9589 |
| City | VICTORIA |
| Zip Code | 67671 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | VICTORIA + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Christopher L Lundberg.
| 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.