Organization
CENTRAL NEBRASKA MEDICAL CLINIC AT SARGENT
Active
Parent organization
CENTRAL NEBRASKA MEDICAL CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL NEBRASKA MEDICAL CLINIC
Authorized official
DR. DAVID A MINNICK M.D. (OWNER)
(308) 872-2486
Entity
Organization
Contact information
Practice address
404 W MAIN ST, SARGENT, NE 68874-6101
(308) 527-4300
(308) 527-9106
Mailing address
404 W MAIN ST, SARGENT, NE 68874-6101
(308) 527-4300
(308) 527-9106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28D0962195
CLIA NUMBER
NE
Enumeration date
04/03/2007
Last updated
09/17/2008
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