Bloomfield Medical Clinic, Pc in Bloomfield - Medical
Bloomfield Medical Clinic, Pc - NPI 1003091497
Bloomfield Medical Clinic, Pc is a Medical in Bloomfield, Nebraska. Bloomfield Medical Clinic, Pc practices all healthcare services and medical treatments related to Medical. The NPI Number for Bloomfield Medical Clinic, Pc is 1003091497. The last update date is 2010-03-29.
Bloomfield Medical Clinic, Pc's current location address is 105 S Broadway Avenue, Bloomfield, Nebraska. You can contact this provider via phone number 4023734341 and fax number 4023734344. The mailing address for Bloomfield Medical Clinic, Pc is 105 S Broadway Avenue, Bloomfield, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bloomfield Medical Clinic, Pc |
|---|---|
| Address | 105 S Broadway Avenue, Bloomfield, Nebraska |
| Phone Number | 4023734341 |
| Fax Number | 4023734344 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lauck D Kevin |
| Credentials | PA-C |
| Telephone Number | 4023734341 |
NPI Number Detail
| NPI Number | 1003091497 |
|---|---|
| Provider Enumeration Date | 2008-01-03 |
| Last Updated Date | 2010-03-29 |
Provider Mailing Address Detail
| Address | 105 S Broadway Avenue |
|---|---|
| City | Bloomfield |
| State | Nebraska (NE) |
| Post Code | 687180357 |
| Phone Number | 4023734341 |
| Fax Number | 4023734344 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 1040 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10025588500 | NE | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Bloomfield Medical Clinic, Pc by the Centers for Medicare & Medicaid Services?
The Bloomfield Medical Clinic, Pc has been issued the NPI (National Provider Identifier) 1003091497 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Bloomfield Medical Clinic, Pc?
The Bloomfield Medical Clinic, Pc is physically situated at 105 S Broadway Avenue, in the city of Bloomfield, state of NE, with the postal code 687180357.
What is Bloomfield Medical Clinic, Pc's area of expertise and its corresponding taxonomy classification?
The Bloomfield Medical Clinic, Pc's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.
When did Bloomfield Medical Clinic, Pc receive its 1003091497 assignment?
The Bloomfield Medical Clinic, Pc was assigned its 1003091497 on 2008-01-03, which is the date when this unique identifier was issued to the organization.
When was the information regarding Bloomfield Medical Clinic, Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bloomfield Medical Clinic, Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-03-29.
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