Nebraska Medical Center
Organization Active NPI Family Medicine Physician · Shenandoah, IA
NPI 1295761856 · NPPES record last updated May 1, 2018
Key facts
- NPI
- 1295761856
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- NEBRASKA MEDICAL CENTER
- Practice address
- 1 Jack Foster Dr
Shenandoah, IA 51601-4586 - Phone
- (712) 246-7400
- Fax
- (712) 246-7334
- NPI assigned
- Jun 24, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- NEBRASKA MEDICAL CENTER
Authorized official
- Name
- Stephanie Daubert
- Title
- Chief Finance Officer
- Phone
- (402) 552-2889
National Provider Directory
- Part of
- Clarkson Primary Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
1 Jack Foster Dr
Shenandoah, IA 51601-4586
Mailing address
1 Jack Foster Dr
Shenandoah, IA 51601-4586
Phone (712) 246-7400
Other providers in Shenandoah, IA
- Kenneth James Myrberg
- Warren A Narducci
- Susan K Narduccie
- National Braces Disgnostics LLC
- Kaisa V Neal
- Felicia Nelson
- Linda Newsome
- Drew Nielsen
- Nishna Productions, Inc.
- Nishna Productions, Inc.
All providers in Shenandoah, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.