Active NPI
Country Clinics PC
Doing business as St Edward Medical Clinic
- Clinic/Center
- Saint Edward, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 28D0455470
- Legal business name
- COUNTRY CLINICS PC
- Doing business as
- St Edward Medical Clinic
- Practice address
- 1102 Water St
St Edward, NE 68660-0167 - Phone
- (402) 678-2232
- Fax
- (402) 678-2234
- NPI assigned
- Jul 11, 2006
- Last updated
- Sep 26, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joyce A Troyer, MD
- Title
- Corporation Secretary
- Phone
- (402) 678-2232
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 28D0455470 | NE | Primary |
Addresses
Primary practice location
1102 Water St
St Edward, NE 68660-0167
Mailing address
PO Box F
St Edward, NE 68660-0167
Phone (402) 678-2232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025570200 | Medicaid | NE |
Other names 1
- St Edward Medical Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider DirectoryOwnership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Sep 1, 2025 | Change of Ownership | St Edward Medical Clinic |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba St Edward Medical Clinic
- Rural Health Clinic/Center
- Saint Edward, NE
- NPI 1144119488
Sold to, 2025-09-01
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- General Practice Physician
- Saint Edward, NE
- NPI 1306839295
-
- Family Medicine Physician
- Saint Edward, NE
- NPI 1326031212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664150400000",
"number": "1225063266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX F",
"city": "ST EDWARD",
"state": "NE",
"postal_code": "686600167",
"telephone_number": "402-678-2232",
"fax_number": "402-678-2234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 WATER ST",
"city": "ST EDWARD",
"state": "NE",
"postal_code": "686600167",
"telephone_number": "402-678-2232",
"fax_number": "402-678-2234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTRY CLINICS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A",
"authorized_official_last_name": "TROYER",
"authorized_official_first_name": "JOYCE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CORPORATION SECRETARY",
"authorized_official_telephone_number": "402-678-2232",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NE",
"license": "28D0455470",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025570200",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St Edward Medical Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "St Edward Medical Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Edward, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.