| Western Family Medicine Pc | |
|
2 W 42nd Street Suite 2800 Scottsbluff NE 69361-4660 | |
| (308) 630-7977 | |
| (308) 630-1028 |
| Full Name | Western Family Medicine Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 2 W 42nd Street, Scottsbluff, Nebraska |
| Authorized Official Name and Position | Edward C. Mccoy (SECRETARY) |
| Authorized Official Contact | 3086307977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Family Medicine Pc Po Box 1498 Scottsbluff NE 69363-1498 Ph: (308) 630-7977 | Western Family Medicine Pc 2 W 42nd Street Suite 2800 Scottsbluff NE 69361-4660 Ph: (308) 630-7977 |
| NPI Number | 1669471801 |
|---|---|
| Provider Enumeration Date | 07/19/2005 |
| Last Update Date | 11/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669471801 | NPI | - | NPPES |
| 10026385500 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Nebraska) | Primary |
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