Bloomfield Medical Clinic, Pc
LBN: Bloomfield Medical Clinic, Pc
Bloomfield Medical Clinic, Pc is an health care organization with primary practice located at 105 S Broadway Avenue , Bloomfield NE 68718-0357. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Medical is the primary health care specialty.
Bloomfield Medical Clinic, Pc can be contacted via phone (402) 373-4341, or through Lauck, Kevin D via phone (402) 373-4341.
Contact Information
Primary practice address
105 S Broadway Avenue
Bloomfield NE 68718-0357
Phone: (402) 373-4341
Fax: (402) 373-4344
Website:
Authorized official contact:
Name: Lauck, Kevin D Physician's Assistant Certified (PA-C)
Phone: (402) 373-4341
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1040 | Nebraska |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 110153 | Nebraska |
Profile Details
| NPI number | 1003091497 |
|---|---|
| LBN Legal business name | Bloomfield Medical Clinic, Pc |
| DBA Doing business as | |
| Authorized official | Lauck, Kevin D Physician's Assistant Certified (PA-C) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 3rd, 2008 |
| Last updated | Mar 29th, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003091497 | NPPES |
| Nebraska | MEDICAID | 10025588500 |
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