Missouri Pimc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MISSOURI PIMC

Practice address

11416 S 44TH St
Bellevue, NE 68123-1029

Phone

(661) 345-5825

Fax

(608) 557-8410

NPI assigned

Dec 23, 2025

Organization subpart

No

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

Authorized official

Name

Jennifer Lund

Title

Administratior

Phone

(661) 345-5835

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1407711203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11416 S 44TH ST",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231029",
            "telephone_number": "661-345-5825",
            "fax_number": "608-557-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11416 S 44TH ST",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231029",
            "telephone_number": "661-345-5825",
            "fax_number": "608-557-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI PIMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-23",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "LUND",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATIOR",
        "authorized_official_telephone_number": "661-345-5835"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.