HIGH PLAINS MEDICAL FOUNDATION (NPI# 1619034253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619034253 |
Entity Type | Organization |
Organization Name | HIGH PLAINS MEDICAL FOUNDATION |
Other Organization Name | CAMS MEDICAL CLINIC |
Practice Address |
562 Vincent Ave. Chappell NE 69129 |
Mailing Address |
1625 Dorwart Dr Po Box 379 Sidney NE 69162-2505 |
Practice Telephone | 3088742255 |
Practice Fax Number | 3088742854 |
Mailing Telephone | 3082545544 |
Mailing Fax Number | 3082542672 |
Enumeration Date | 2007-01-02 |
Last Update Date | 2007-08-02 |
Authorized Official Name | MR. CRAIG BRAUER (PRESIDNET/CEO) |
Authorized Official Telephone | 3082545544 |
Is Organization Subpart | Y |
Parent Organization Name | WESTERN NEBRASKA HEALTH SYSTEMS |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
283861 | NE | Ambulatory Health Care Facilities |
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | RR MEDICARE | CN7427 | 01 |
NE | 10025499800 | 05 | |
NE | BCBS | 1945 | 01 |
NE | 10025511600 | 05 |
Other Name | Type Code |
---|---|
CAMS Medical Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710064316 | High Plains Medical Foundation | Clinic/Center | 1625 Dorwart Dr, Sidney, NE 69162-2505 | 2006-11-01 |
Street Address |
562 VINCENT AVE. |
City | CHAPPELL |
State | NE |
Zip Code | 69129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598800450 | Western Drug Co. of Chappell, Inc. | Pharmacy | 650 2nd St., Chappell, NE 69129 | 2007-02-20 |
1912044801 | Robert Blair Leopold | Pharmacist | 650 2nd St, Chappell, NE 69129 | 2007-01-31 |
1588658009 | Miller Memorial Care Center & Assisted Living | Nursing Facility/Intermediate Care Facility | 589 Vincent Avenue, Chappell, NE 69129 | 2005-09-12 |
1386782894 | Michelle Lee Schmid | Pharmacist | 650 2nd Street, Chappell, NE 69129-0368 | 2007-02-05 |
1548285919 | Richard Thomas Krueger | Dentist | 246 Vincent Avenue, Chappell, NE 69129-0468 | 2006-07-13 |
1659396463 | Kevin Charles Low | Dentist | 246 Vincent Avenue, Chappell, NE 69129-0468 | 2006-07-13 |
1518239383 | Ford Home Health Services Plus | Home Health | 1318 1st St, Chappell, NE 69129-6859 | 2012-02-08 |
1770145492 | Our Town Pharmacy LLC | Pharmacy | 733 2nd St, Chappell, NE 69129-6876 | 2019-07-02 |
1295704880 | City of Chappell | Ambulance | 1650 2nd St, Chappell, NE 69129-6876 | 2006-03-16 |
1659629046 | Jennifer Anne Reichman | Occupational Therapist | 1899 Hughes Dr, Chappell, NE 69129-8180 | 2012-08-16 |
Find all providers in zip 69129 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.