Active NPI
McCook Family Medicine, PC
- Family Medicine Physician
- McCook, NE
National Provider Identifier
1336290972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MCCOOK FAMILY MEDICINE, PC
- Practice address
- 1301 E H St
MC Cook, NE 69001-3482 - Phone
- (308) 344-4110
- Fax
- (308) 344-8369
- NPI assigned
- Jan 12, 2007
- Last updated
- Jan 19, 2025
- 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
- Nichole Hartzer
- Title
- Administrator
- Phone
- (308) 344-8784
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
1301 E H St
MC Cook, NE 69001-3482
Mailing address
PO Box 1207
MC Cook, NE 69001-1207
Phone (308) 344-4110
Other names 1
- McCook Clinic, PC
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D0705554 | McCook Clinic PC | Compliance | Feb 21, 2028 |
National Provider Directory
National Provider DirectoryLocations
1401 E H St
McCook, NE 69001
Phone (308) 344-4110
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.
-
- Family Medicine Physician
- McCook, NE
- NPI 1205527785
-
- Family Medicine Physician
- McCook, NE
- NPI 1114616844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737244800000",
"number": "1336290972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1207",
"city": "MC COOK",
"state": "NE",
"postal_code": "690011207",
"telephone_number": "308-344-4110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 E H ST",
"city": "MC COOK",
"state": "NE",
"postal_code": "690013482",
"telephone_number": "308-344-4110",
"fax_number": "308-344-8369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCCOOK FAMILY MEDICINE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-12",
"last_updated": "2025-01-19",
"certification_date": "2025-01-19",
"status": "A",
"authorized_official_last_name": "HARTZER",
"authorized_official_first_name": "NICHOLE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "308-344-8784"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "McCook Clinic, PC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in McCook, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.