CHADRON MEDICAL CLINIC PC – NPI #1417167370
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

CHADRON MEDICAL CLINIC PC is a provider located in CHADRON, NE. NPPES has assigned the NPI number 1417167370 to CHADRON MEDICAL CLINIC PC on May 22, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHADRON MEDICAL CLINIC PC below.

NPI Profile for
CHADRON MEDICAL CLINIC PC

NPI Number
1417167370
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHADRON MEDICAL CLINIC PC
Primary location
825 CENTENNIAL DR
CHADRON, NE 69337-9400
Phone: (308) 432-4441 Fax: (308) 432-4446
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TERESA LANDRETH
OFFICE MANAGER
Phone: (308) 432-4441
Updated
Identifiers

Identifiers for CHADRON MEDICAL CLINIC PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE SHIELDNE01981
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
NE

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.