NPIMap

Organization Active NPI

First Care Medical, PC

  • Clinic/Center
  • Kearney, NE
National Provider Identifier
1295834968
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FIRST CARE MEDICAL, PC
Practice address
2605 2ND Ave
Kearney, NE 68847-4425
Phone
(308) 236-7016
Fax
(308) 236-7027
NPI assigned
Sep 21, 2006
Last updated
Sep 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
Mr. Aaron J Madsen, MBA, ATC, NREMTNPI 1033179346
Title
Clinic Administrator
Phone
(308) 236-7016

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)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2605 2ND Ave
Kearney, NE 68847-4425

Mailing address

2605 2ND Ave
Kearney, NE 68847-4425
Phone (308) 236-7016

Other names 1

  • First Care Medical, PC of Kearney Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090220000551 NE Part B Supplier - Clinic/Group Practice 6305901513 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
Practice locations: Kearney, NE

Other NPIs on the same Medicare enrollment 1

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
28D1035931First Care Medical PC2605 2ND Avenue, Kearney, NE 68847ComplianceJul 27, 2027

National Provider Directory

National Provider Directory

Locations

2605 2nd Ave
Kearney, NE 68847
Phone (308) 236-7016

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 8

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1295834968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 2ND AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688474425",
            "telephone_number": "308-236-7016",
            "fax_number": "308-236-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 2ND AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688474425",
            "telephone_number": "308-236-7016",
            "fax_number": "308-236-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CARE MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "MADSEN",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "308-236-7016",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, ATC, NREMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Care Medical, PC of Kearney",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.