Litzenberg Memorial Merrick County

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

LITZENBERG MEMORIAL MERRICK COUNTY

Doing business as

Lone Tree Medical Clinic

Practice address

901 Broadway St
Fullerton, NE 68638-3151

Phone

(308) 536-2458

NPI assigned

May 23, 2014

Last updated

Nov 14, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

LITZENBERG MEMORIAL MERRICK COUNTYAs reported in NPPES

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

Authorized official

Name

Ms. Julie M. Murray

Title

Ceo

Phone

(308) 946-3015

Specialties & licenses 3

Addresses

Other names 1

• LONE TREE MEDICAL CLINIC Doing business as

Part of

Litzenberg Memorial Count

Locations

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

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1366854358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 26TH ST",
            "city": "CENTRAL CITY",
            "state": "NE",
            "postal_code": "688269501",
            "telephone_number": "308-946-3015",
            "fax_number": "308-946-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BROADWAY ST",
            "city": "FULLERTON",
            "state": "NE",
            "postal_code": "686383151",
            "telephone_number": "308-536-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITZENBERG MEMORIAL MERRICK COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LITZENBERG MEMORIAL MERRICK COUNTY",
        "enumeration_date": "2014-05-23",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "308-946-3015",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY 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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LONE TREE MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Merridie R Kaup, LIMHP
• Stacy Jo Kramer, MPT
• Land Chiropractic LLC
• Tori Jo Land, D.C.
• Lincoln Behavioral Health Clinic, Inc
• Lone Tree Medical Associates, P.C.
• Michele Mangus
• Melissa M Schock DDS LLC
• Merrick Medical Center (Fullerton Medical Clinic)
• Nance County Family Chiropractic Center, LLC

• Rural Health Clinic/Center in Fullerton, NE
• Providers in Fullerton, NE by specialty
• Rural Health Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.