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CHADRON MEDICAL CLINIC PC NPI 1619455946


NPI Information

NPI: 1619455946
Provider Name: CHADRON MEDICAL CLINIC PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 28D2008776

Address:
825 CENTENNIAL DR
CHADRON, NE
ZIP 69337
Phone: (308) 432-4441
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CHADRON MEDICAL CLINIC PC is a family medicine in Chadron, 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. CHADRON MEDICAL CLINIC PC NPI is 1619455946. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

825 CENTENNIAL DR
CHADRON, NE
ZIP 69337
Phone: (308) 432-4441
Fax: (308) 432-2130

The provider's authorized official is Victoria Lee Barraza .
The authorized official title is Medicare Compliance Officer and has the following contact phone number (308) 432-4441.

The CLIA number assigned to this NPI record is 28D2008776 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2018 and was last updated on 7/30/2018.


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
1207Q00000XFamily MedicineYes

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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