Organization Active NPI

McCook Family Medicine, PC

  • Family Medicine Physician
  • McCook, NE
National Provider Identifier
1336290972
Registry record updated Jan 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2025

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)CodeLicenseStatePrimary
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 Former legal business name

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
28D0705554McCook Clinic PC1301 East H Street, McCook, NE 69001ComplianceFeb 21, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.