# HARKINS FAMILY MEDICINE PC

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

## Provider details

- **NPI number:** 1447450713
- **Authorized official:** DR. DANIEL T HARKINS M.D. (PRESIDENT)
- **Authorized official phone:** (308) 635-2004

## Contact information

- **Practice address:** 1821 1ST AVE, SCOTTSBLUFF, NE 69361-2404
- **Practice address phone:** (308) 635-2004
- **Mailing address:** 1821 1ST AVE, SCOTTSBLUFF, NE 69361-2404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 17710 | NE | Yes |

## Other

- **Enumeration date:** 07/24/2007
- **Last updated:** 08/09/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 099439 | MEDICARE | NE |
| 05 | — | 10025044900 | — | NE |