Organization
CENTRAL NEBRASKA MEDICAL CLINIC, P.C.
Active
Parent organization
CENTRAL NEBRASKA MEDICAL CLINIC, P.C.
Other names
ANSLEY CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL NEBRASKA MEDICAL CLINIC, P.C.
Authorized official
DR. DAVID A MINNICK M.D. (OWNER PARTNER)
(308) 872-2486
Entity
Organization
Contact information
Practice address
706 MAIN ST., ANSLEY, NE 68814-0706
(308) 935-1367
(308) 872-2027
Mailing address
PO BOX 690, 145 MEMORIAL DRIVE, BROKEN BOW, NE 68822-0690
(308) 872-2486
(308) 872-2027
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28D0942874
CLIA NUMBER
NE
Enumeration date
04/04/2007
Last updated
06/11/2008
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