BLOOMFIELD MEDICAL CLINIC, PC; NPI #1003091497

Contact Information

BLOOMFIELD MEDICAL CLINIC, PC

105 S BROADWAY AVENUE
BLOOMFIELD, NE 68718-0357

Phone: 402-373-4341
Fax: 402-373-4344
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Medical	363AM0700X	97	Physician Assistant
Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for BLOOMFIELD MEDICAL CLINIC, PC

NPI # 1003091497

LBN Legal business name BLOOMFIELD MEDICAL CLINIC, PC

Authorized official KEVIN LAUCK - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/03/2008

Last updated 03/29/2010 - About 16 years ago

Identifiers

NE	License #	1040
NE	License #	110153
NE	Medicaid	10025588500

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BLOOMFIELD MEDICAL CLINIC, PC

Contact Information

Specialty

Medical

Family

NPI Profile & details for BLOOMFIELD MEDICAL CLINIC, PC

Reviews for BLOOMFIELD MEDICAL CLINIC, PC