McCann Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

111775 Issued in NE

Legal business name

MCCANN MEDICAL CLINIC

Practice address

2820 E US Highway 34
Grand Island, NE 68801-9734

Phone

(308) 227-2182

NPI assigned

Jun 11, 2018

Organization subpart

No

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

Authorized official

Name

Connie A Mills

Title

Consultant

Phone

(308) 384-2282

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1205329596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 E US HIGHWAY 34",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688019734",
            "telephone_number": "308-210-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 E US HIGHWAY 34",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688019734",
            "telephone_number": "308-227-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCANN MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "308-384-2282"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "111775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn May
• Brittany Mariah Mayer, DNP FNP-BC
• Fatima E Mayo Bastida
• MB4 Enterprises, Inc
• Kurt McCallum, PT
• Nadia Ann McCann, APRN
• Christine McCarraher, OT
• Blair McCarty, DPT
• Matthew McCarty
• Octavia McCarville

• Family Medicine Physician in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.