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ELKHORN VALLEY FAMILY MEDICINE PC NPI 1598767287


NPI Information

NPI: 1598767287
Provider Name: ELKHORN VALLEY FAMILY MEDICINE, PC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 28D1023146

Address:
304 E DOUGLAS ST
ONEILL, NE
ZIP 68763
Phone: (402) 336-4222
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ELKHORN VALLEY FAMILY MEDICINE, PC is a clinic center in Oneill, NE. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ELKHORN VALLEY FAMILY MEDICINE, PC NPI is 1598767287. The provider is registered as an organization entity type.

The provider's business location address is:

304 E DOUGLAS ST
ONEILL, NE
ZIP 68763-830
Phone: (402) 336-4222
Fax: (402) 336-4228

The provider's authorized official is Dave Fuchser .
The authorized official title is Office Manager and has the following contact phone number (402) 336-4222.

The CLIA number assigned to this NPI record is 28D1023146 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/11/2005 and was last updated on 12/11/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1099491MEDICARE ID-TYPE UNSPECIFIEDNEBRASKA
210025080400MEDICAIDNEBRASKA
35126400001MEDICARE NSCNEBRASKA

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: 4/28/2024

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