LITZENBERG MEMORIAL MERRICK COUNTY NPI 1366854358

NPI Information

NPI: 1366854358
Provider Name: LITZENBERG MEMORIAL MERRICK COUNTY

Doing Business As: LONE TREE MEDICAL CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
901 BROADWAY ST
FULLERTON, NE
ZIP 68638
Phone: (308) 536-2458
Get Directions

LITZENBERG MEMORIAL MERRICK COUNTY is a rural health clinic center in Fullerton, NE. LITZENBERG MEMORIAL MERRICK COUNTY NPI is 1366854358. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lone Tree Medical Clinic.

The provider's business location address is:

901 BROADWAY ST
FULLERTON, NE
ZIP 68638-151
Phone: (308) 536-2458

The provider's authorized official is Julie M. Murray .
The authorized official title is Ceo and has the following contact phone number (308) 946-3015.

The enumeration date for this NPI number is 5/23/2014 and was last updated on 11/14/2014.

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	Primary
1	207Q00000X	Family Medicine		No
2	363A00000X	Physician Assistant		No
3	261QR1300X	Clinic/Center	Rural Health	Yes

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
1	NA2502	MEDICARE PIN	NEBRASKA
2	288530	MEDICARE OSCAR/CERTIFICATION	NEBRASKA

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

NPI Synchronization or Removal

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