OrganizationActive
Ivy Street Medical LLC
NPI 1487806147 · Rural Health Clinic/Center · Stanton, NE
Provider details
- NPI number
- 1487806147
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Karla Damgaard, Owner(402) 439-5500
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
902 Ivy St
Stanton, NE 68779-2348
Phone: (402) 439-5500
Fax: (402) 439-5502
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 47
Stanton, NE 68779-0047
Registry dates
- Enumerated
- 2008-10-14
- Last updated
- 2008-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.