NPIMap

Organization Active NPI

County Medical Services Inc.

Doing business as Main Street Medical Clinic

  • Rural Health Clinic/Center
  • Red Cloud, NE
National Provider Identifier
1174570758
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
COUNTY MEDICAL SERVICES INC.
Doing business as
Main Street Medical Clinic
Practice address
313 N Webster St
Red Cloud, NE 68970-2549
Phone
(402) 746-2282
Fax
(402) 746-2300
NPI assigned
May 28, 2006
Last updated
Sep 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Authorized official

Name
Ms. Theresa Rizzo
Title
Administrator/Ceo
Phone
(308) 425-6221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NE Primary

Addresses

Primary practice location

313 N Webster St
Red Cloud, NE 68970-2549

Mailing address

PO Box 467
Red Cloud, NE 68970-0467
Phone (402) 746-2282

Other names 1

  • Main Street Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

313 N Webster St
Red Cloud, NE 68970
Phone (402) 476-2282

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1174570758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 467",
            "city": "RED CLOUD",
            "state": "NE",
            "postal_code": "689700467",
            "telephone_number": "402-746-2282",
            "fax_number": "402-746-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 N WEBSTER ST",
            "city": "RED CLOUD",
            "state": "NE",
            "postal_code": "689702549",
            "telephone_number": "402-746-2282",
            "fax_number": "402-746-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY MEDICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "RIZZO",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "308-425-6221",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Cloud, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.