# VALENTINE MEDICAL CLINIC, LLC

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

## Provider details

- **NPI number:** 1881704229
- **Authorized official:** MICHELE MULLIGAN-WITT MD (PRESIDENT / CEO)
- **Authorized official phone:** (402) 376-2200

## Contact information

- **Practice address:** 502 N CHERRY ST, VALENTINE, NE 69201-1518
- **Practice address phone:** (402) 376-2200
- **Practice address fax:** (402) 376-2219
- **Mailing address:** 502 N CHERRY ST, VALENTINE, NE 69201-1518
- **Mailing address phone:** (402) 376-2200
- **Mailing address fax:** (402) 376-2219

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QR1300X | Rural Health Clinic/Center | 21205 | NE | — |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 03/28/2022