Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Park Street Medical Clinic PC

Organization Family Medicine Physician · NPI 1790086999

Park Street Medical Clinic PC provides Family Medicine Physician services in Genoa, Nebraska. Registered with an NPI since 2010.

In the registry since
2010
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

505 S Park St
Genoa, NE 68640 Not confirmed with CMS for 15 years — call before visiting
Phone: (402) 993-2206
Fax: (402) 993-2595
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1790086999
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Buhlke — Owner · (402) 993-2206
NPI enumeratedNovember 4, 2010
Last updated in NPPESNovember 4, 2010
Mailing addressPo Box 310, 505 South Park Street, Genoa, NE 68640

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