Provider Demographics
NPI:1407654098
Name:DEWEY, CLAY DEAN
Entity type:Individual
Prefix:
First Name:CLAY
Middle Name:DEAN
Last Name:DEWEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76301 ROAD 416
Mailing Address - Street 2:
Mailing Address - City:WILLOW ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:69171-3126
Mailing Address - Country:US
Mailing Address - Phone:308-537-6181
Mailing Address - Fax:
Practice Address - Street 1:715 E 3RD ST APT 107
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NE
Practice Address - Zip Code:68850-2238
Practice Address - Country:US
Practice Address - Phone:308-537-6181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No372500000XNursing Service Related ProvidersChore Provider