# SCHROCK MEDICAL CLINIC PC

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

## Provider details

- **NPI number:** 1639691355
- **Authorized official:** SAMUEL L SCHROCK (OWNER)
- **Authorized official phone:** (308) 440-7796

## Contact information

- **Practice address:** 1616 W 39TH ST STE A, KEARNEY, NE 68845-2922
- **Practice address phone:** (308) 236-6499
- **Practice address fax:** (308) 236-2050
- **Mailing address:** 615 W 68TH ST, KEARNEY, NE 68845-9505
- **Mailing address phone:** (308) 440-7769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 07/14/2017
- **Last updated:** 05/08/2023