# PLUM CREEK MEDICAL GROUP, P.C.

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

## Provider details

- **NPI number:** 1104868496
- **Authorized official:** JAMES NAEVE (ADMINISTRATOR)
- **Authorized official phone:** (308) 324-6386

## Contact information

- **Practice address:** 1103 BUFFALO BND, LEXINGTON, NE 68850-1528
- **Practice address phone:** (308) 324-6386
- **Practice address fax:** (308) 324-6913
- **Mailing address:** 1103 BUFFALO BND, PO BOX 797, LEXINGTON, NE 68850-1528
- **Mailing address phone:** (308) 324-6386
- **Mailing address fax:** (308) 324-6913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/12/2006
- **Last updated:** 02/12/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01950 | BLUE CROSS/BLUE SHIELD NE | NE |