Organization Active NPI

Panhandle Health Services

Doing business as Western Regional Orthopedic Center

  • Specialist
  • Scottsbluff, NE
National Provider Identifier
1114065216
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
NE22469 Issued in NE
Legal business name
PANHANDLE HEALTH SERVICES
Doing business as
Western Regional Orthopedic Center
Practice address
3911 Avenue B Ste 3400
Scottsbluff, NE 69361-4617
Phone
(308) 635-8900
Fax
(308) 635-8920
NPI assigned
Feb 1, 2007
Last updated
Jan 7, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
REGIONAL WEST HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Mr. Curt Copple
Title
Clinic Administrator
Phone
(308) 630-1115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NE22469 NE Primary

Addresses

Primary practice location

3911 Avenue B Ste 3400
Scottsbluff, NE 69361-4617

Mailing address

3911 Avenue B Ste 3400
Scottsbluff, NE 69361-4617
Phone (308) 635-8900

Other identifiers 3

IdentifierTypeStateIssuer
099051OtherMEDICARE GROUP NUMBER
10025280400MedicaidNE
CC9608OtherRR MEDICARE GROUP NUMBER

Other names 1

  • Western Regional Orthopedic Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040315001274 NE Part B Supplier - Clinic/Group Practice 2062301609 Receives reassigned benefits from 223 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Scottsbluff, NE; Oshkosh, NE; Omaha, NE; Ogallala, NE; Lincoln, NE; Sidney, NE; Bridgeport, NE; Bayard, NE…

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1114065216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 AVENUE B STE 3400",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614617",
            "telephone_number": "308-635-8900",
            "fax_number": "308-635-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 AVENUE B STE 3400",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614617",
            "telephone_number": "308-635-8900",
            "fax_number": "308-635-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHANDLE HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGIONAL WEST HEALTH SERVICES",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "COPPLE",
        "authorized_official_first_name": "CURT",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "308-630-1115",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NE",
            "license": "NE22469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "099051",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025280400",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP NUMBER",
            "identifier": "CC9608",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Regional Orthopedic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 7, 2008; 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.