Organization Active NPI

Bluffs Health Care Clinic

  • Medical Physician Assistant
  • Scottsbluff, NE
National Provider Identifier
1033340146
Registry record updated Aug 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
875 Issued in NE
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2009

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.