# MCGILL FAMILY PRACTICE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083788103
- **Authorized official:** JAYCI FOSTER MA (OFFICE MANAGER)
- **Authorized official phone:** (402) 505-9657

## Contact information

- **Practice address:** 1502 S WASHINGTON ST, STE 201, PAPILLION, NE 68046-3136
- **Practice address phone:** (402) 505-9657
- **Practice address fax:** (402) 505-9658
- **Mailing address:** 2063 CREEK SIDE DR STE 115, PAPILLION, NE 68046-5103
- **Mailing address phone:** (402) 505-9657
- **Mailing address fax:** (402) 505-9658

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 20633 | NE | Yes |

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 08/28/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025060800 | — | NE |