# SCHROCK MEDICAL CLINIC PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SCHROCK MEDICAL CLINIC PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1891576401
- **Legal business name:** SCHROCK MEDICAL CLINIC PC
- **Authorized official:** JULIE C PRELLWITZ (CLINIC DIRECTOR)
- **Authorized official phone:** (308) 236-6499

## Contact information

- **Practice address:** 4546 S 86TH ST STE B, LINCOLN, NE 68526-9252
- **Practice address phone:** (402) 817-1999
- **Practice address fax:** (402) 817-1559
- **Mailing address:** 1616 W 39TH ST STE A, KEARNEY, NE 68845-2922
- **Mailing address phone:** (308) 236-6499
- **Mailing address fax:** (308) 236-2050

## 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:** 10/10/2023
- **Last updated:** 10/10/2023