Organization
HORIZONS WEST MEDICAL GROUP A PROFESSIONAL CORPORTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT BJORLING (PRESIDENT)
(308) 630-2100
Entity
Organization
Contact information
Practice address
3911 AVENUE B, SUITE 2100, SCOTTSBLUFF, NE 69361
(308) 630-2131
(308) 630-1890
Mailing address
3911 AVENUE B, SUITE 2100, SCOTTSBLUFF, NE 69361
(308) 630-2131
(308) 630-1890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
283821
MEDICARE OSCAR/CERTIFICAT
NE
01
—
CD2704
PALMENTO GBA-RR MEDICARE
NE
Enumeration date
09/29/2006
Last updated
09/08/2008
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