NPIMap

Organization Active NPI

Kearney Co Health Services

Doing business as Minden Medical Clinic BCBS PCMH

  • Rural Health Clinic/Center
  • Minden, NE
National Provider Identifier
1356993307
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
KEARNEY CO HEALTH SERVICES
Doing business as
Minden Medical Clinic BCBS PCMH
Practice address
727 E 1St St
Minden, NE 68959-1705
Phone
(308) 832-3400
Fax
(308) 832-3414
NPI assigned
Jul 10, 2019
Last updated
Jul 10, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
KEARNEY CO HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Authorized official

Name
Mr. Luke D Poore
Title
Ceo
Phone
(308) 832-3400

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X

Addresses

Primary practice location

727 E 1St St
Minden, NE 68959-1705

Mailing address

727 E 1St St
Minden, NE 68959-1705
Phone (308) 832-3400

Other names 1

  • MINDEN MEDICAL CLINIC BCBS PCMH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kearney County Comm Hospi3 organizations share this tax ID, including this one
Part of
Kearney County Comm Hospi

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1356993307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 E 1ST ST",
            "city": "MINDEN",
            "state": "NE",
            "postal_code": "689591705",
            "telephone_number": "308-832-3400",
            "fax_number": "308-832-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 E 1ST ST",
            "city": "MINDEN",
            "state": "NE",
            "postal_code": "689591705",
            "telephone_number": "308-832-3400",
            "fax_number": "308-832-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEARNEY CO HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEARNEY CO HEALTH SERVICES",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "POORE",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "308-832-3400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MINDEN MEDICAL CLINIC BCBS PCMH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minden, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.