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Organization
YORK MEDICAL CLINIC, P.C.
Active
Organization
YORK MEDICAL CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KITTI NIENHUESER (CREDENTIALING COORDINATOR)
(402) 362-0615
Entity
Organization
Contact information
Practice address
2114 N LINCOLN AVE STE A, YORK, NE 68467-1072
(402) 362-5555
Mailing address
2114 N LINCOLN AVENUE, SUITE A, YORK, NE 68467-1028
(402) 362-5555
(402) 362-7137
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098043
PTAN EMC
NE
01
—
098044
PTAN SMC
NE
01
—
28-3819
RURAL HEALTH
—
01
—
28-3834
RURAL HEALTH
—
Enumeration date
05/18/2006
Last updated
04/29/2024
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