Central Nebraska Medical Clinic Arcadia

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CENTRAL NEBRASKA MEDICAL CLINIC ARCADIA

Practice address

110 West Bridge Street
Arcadia, NE 68815

Phone

(308) 872-2486

Fax

(308) 872-2027

NPI assigned

Jun 6, 2016

Last updated

Jun 6, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

CENTRAL NEBRASKA MEDICAL CLINIC PCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Teresa Kay Sinner

Title

Manager

Phone

(308) 872-2486

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Central Nebraska Medical Clinic at Sargent

  • Family Medicine Physician
  • Sargent, NE
  • NPI 1861513954

  O20040426000695

  Same enrollment
• Central Nebraska Medical Clinic PC

  • Family Medicine Physician
  • Broken Bow, NE
  • NPI 1578668232

  O20040426000695

  Same enrollment
• Central Nebraska Medical Clinic, P.C.

  dba Ansley Clinic

  • Family Medicine Physician
  • Ansley, NE
  • NPI 1841312584

  O20040426000695

  Same enrollment

Part of

Central Nebraska Medical Clinic PC

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DGFCCD

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Central Nebraska Medical Clinic PC

  • Family Medicine Physician
  • Broken Bow, NE
  • NPI 1578668232
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1053760504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 MEMORIAL DR",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "688221378",
            "telephone_number": "308-872-2486",
            "fax_number": "308-872-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WEST BRIDGE STREET",
            "city": "ARCADIA",
            "state": "NE",
            "postal_code": "68815",
            "telephone_number": "308-872-2486",
            "fax_number": "308-872-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL NEBRASKA MEDICAL CLINIC ARCADIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL NEBRASKA MEDICAL CLINIC PC",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "SINNER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "308-872-2486"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arcadia Fire & Rescue
• Lori June Bush
• Katherine Nicole Carrizales, LPN
• Jodi R Sell-Grove, LIMHP
• Matthew Skaggs, CRNA
• Valley District 21 Arcadia Public School (Arcadia Public School)
• Village of Arcadia (Arcadia Vol. Fire Dept/Rescue)

• Primary Care Clinic/Center in Arcadia, NE
• Providers in Arcadia, NE by specialty
• Primary Care Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.