NPIMap

Organization Active NPI

Midtown Health Center, Inc.

Doing business as Midtown Xpress Care

  • Federally Qualified Health Center (FQHC)
  • Norfolk, NE
National Provider Identifier
1174136543
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MIDTOWN HEALTH CENTER, INC.
Doing business as
Midtown Xpress Care
Practice address
210 S 3Rd St
Norfolk, NE 68701-5204
Phone
(402) 371-8000
Fax
(402) 371-0971
NPI assigned
Aug 26, 2020
Organization subpart
Yes
Parent organization
MIDTOWN HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Melodee J Drenkow
Title
Systems Auditor/Credentialing
Phone
(402) 370-1064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

210 S 3Rd St
Norfolk, NE 68701-5204

Mailing address

302 W Phillip Ave
Norfolk, NE 68701-5248
Phone (402) 370-1064

Other names 1

  • Midtown Xpress Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040519001227 NE Part B Supplier - Clinic/Group Practice 9133110182 Receives reassigned benefits from 17 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Norfolk, NE; Madison, NE
O20200911000201 NE Part A Provider - Federally Qualified Health Center (FQHC) 9133110182 Practice locations: Norfolk, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174136543. Details of each certification follow.

Federally qualified health center certification: CCN 281854

Legal name
MIDTOWN HEALTH CENTER INC
Doing business as
MIDTOWN XPRESS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 11, 2020
Last certification
Sep 11, 2020
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
210 S 3Rd St
Norfolk, NE 68701-5204

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

Other NPIs on the same Medicare enrollment 6

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2192126Midtown Xpress Care210 S 3Rd St, Norfolk, NE 68701Provider-performed microscopySep 3, 2026

National Provider Directory

National Provider Directory
Tax ID family
Midtown Health Center Inc19 organizations share this tax ID, including this one
Part of
Midtown Health Center Inc

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Karie Langhorst Individual Corporate DirectorCfo Jan 1, 2025
W-2 Managing Employee Jan 1, 2025

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Midtown Health Center IncNorfolk, NE, CCN 281812 Federally qualified health center Operational/Managerial Control Aug 1, 2008
Midtown Health Center - MadisonMadison, NE, CCN 281813 Federally qualified health center Operational/Managerial Control Apr 6, 2009

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1174136543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W PHILLIP AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015248",
            "telephone_number": "402-370-1064",
            "fax_number": "402-371-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S 3RD ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015204",
            "telephone_number": "402-371-8000",
            "fax_number": "402-371-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDTOWN HEALTH CENTER, INC.",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "DRENKOW",
        "authorized_official_first_name": "MELODEE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SYSTEMS AUDITOR/CREDENTIALING",
        "authorized_official_telephone_number": "402-370-1064"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midtown Xpress Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.