Fairbury Clinic, P.C.
LBN: Fairbury Clinic, P.C.
Fairbury Clinic, P.C. is an health care organization with primary practice located at 825 22Nd St , Fairbury NE 68352-1299. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Fairbury Clinic, P.C. can be contacted via phone (402) 729-3361, or through Moellenberndt, Jacki via phone (402) 729-3361.
Contact Information
Primary practice address
825 22Nd St
Fairbury NE 68352-1299
Phone: (402) 729-3361
Fax: (402) 729-4010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1619948551 |
|---|---|
| LBN Legal business name | Fairbury Clinic, P.C. |
| DBA Doing business as | |
| Authorized official | Moellenberndt, Jacki |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Oct 12th, 2010 - about 15 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 | 1619948551 | NPPES |
| Kansas | MEDICAID | 100300280A | |
| Kansas | MEDICAID | 100300280B |
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