Active NPI
Bluffs Health Care Clinic
- Medical Physician Assistant
- Scottsbluff, NE
National Provider Identifier
1033340146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 875
- Legal business name
- BLUFFS HEALTH CARE CLINIC
- Practice address
- 914 W 36TH STR
Scottsbluff, NE 69361 - Phone
- (308) 633-1280
- Fax
- (308) 633-1285
- NPI assigned
- Aug 6, 2009
- Last updated
- Aug 6, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen E. Van Noy, PA-C, MPAS
- Title
- Physician Assistant
- Phone
- (308) 633-1280
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 875 | NE | Primary |
Addresses
Primary practice location
914 W 36TH STR
Scottsbluff, NE 69361
Mailing address
914 W 36TH STR
Scottsbluff, NE 69361
Phone (308) 633-1280
National Provider Directory
National Provider DirectoryLocations
914 W 36TH STR
Scottsbluff, NE 69361
Phone (308) 633-1280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249516800000",
"number": "1033340146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 W 36TH STR",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "69361",
"telephone_number": "308-633-1280",
"fax_number": "308-633-1285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 W 36TH STR",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "69361",
"telephone_number": "308-633-1280",
"fax_number": "308-633-1285"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUFFS HEALTH CARE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-06",
"last_updated": "2009-08-06",
"status": "A",
"authorized_official_last_name": "VAN NOY",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
"authorized_official_telephone_number": "308-633-1280",
"authorized_official_credential": "PA-C, MPAS"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NE",
"license": "875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsbluff, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.