Bloomfield Medical Clinic, PC

Organization Medical Physician Assistant · NPI 1003091497

Bloomfield Medical Clinic, PC provides Medical Physician Assistant services in Bloomfield, Nebraska. Licensed in Nebraska. Registered with an NPI since 2008.

Licensed in: NE
In the registry since: 2008
Specialties on file: 2

What do these letters mean?

PC — Professional corporation: A form of business registration, not a clinical qualification.

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Practice location Address checks out

105 S Broadway Ave
Bloomfield, NE 68718-0357 Not confirmed with CMS for 16 years — call before visiting
Phone: (402) 373-4341
Fax: (402) 373-4344

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary)	Taxonomy 363AM0700X · Licence 1040 (NE)
Family Nurse Practitioner	Taxonomy 363LF0000X · Licence 110153 (NE)

Record details

NPI number	1003091497
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Kevin Lauck — President · (402) 373-4341
NPI enumerated	January 3, 2008
Last updated in NPPES	March 29, 2010
Mailing address	105 S Broadway Avenue, P O Box 357, Bloomfield, NE 68718-0357