# CENTRAL NEBRASKA MEDICAL CLINIC, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CENTRAL NEBRASKA MEDICAL CLINIC, P.C.
- **Other names:** ANSLEY CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1841312584
- **Legal business name:** CENTRAL NEBRASKA MEDICAL CLINIC, P.C.
- **Authorized official:** DR. DAVID A MINNICK M.D. (OWNER PARTNER)
- **Authorized official phone:** (308) 872-2486

## Contact information

- **Practice address:** 706 MAIN ST., ANSLEY, NE 68814-0706
- **Practice address phone:** (308) 935-1367
- **Practice address fax:** (308) 872-2027
- **Mailing address:** PO BOX 690, 145 MEMORIAL DRIVE, BROKEN BOW, NE 68822-0690
- **Mailing address phone:** (308) 872-2486
- **Mailing address fax:** (308) 872-2027

## Taxonomy

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

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 06/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 28D0942874 | CLIA NUMBER | NE |