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BLOOMFIELD MEDICAL CLINIC NPI 1902355951


NPI Information

NPI: 1902355951
Provider Name: BLOOMFIELD MEDICAL CLINIC

Doing Business As: BLOOMFIELD MEDICAL CLINIC DBA OSMOND MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 28D1075586

Address:
418 N STATE ST
OSMOND, NE
ZIP 68765
Phone: (402) 748-3366
Get Directions

BLOOMFIELD MEDICAL CLINIC is a family medicine in Osmond, NE. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BLOOMFIELD MEDICAL CLINIC NPI is 1902355951. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Bloomfield Medical Clinic Dba Osmond Medical Clinic.

The provider's business location address is:

418 N STATE ST
OSMOND, NE
ZIP 68765-722
Phone: (402) 748-3366
Fax: (402) 373-4344

The provider's authorized official is Kevin D Lauck .
The authorized official title is President and has the following contact phone number (402) 373-4341.

The CLIA number assigned to this NPI record is 28D1075586 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/30/2016 and was last updated on 9/30/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant1040NEBRASKANo
2363A00000XPhysician Assistant2003NEBRASKANo
3363LF0000XNurse PractitionerFamily110153NEBRASKANo
4207Q00000XFamily Medicine25844NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1NA1045005MEDICARE UPIN
2NA1045002MEDICARE UPIN
3NA1045001MEDICARE UPIN
4NA1045004MEDICARE UPIN
5NA1045MEDICARE UPIN
610025588500MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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