Fountain Point Imaging Center LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

FOUNTAIN POINT IMAGING CENTER LLC

Practice address

3901 W Norfolk Ave Ste R
Norfolk, NE 68701-4405

Phone

(402) 379-2349

Fax

(402) 379-2437

NPI assigned

Sep 3, 2021

Organization subpart

No

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

Authorized official

Name

Becky McManus

Title

Ceo

Phone

(605) 665-6919

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Yankton Medical Clinic PC

  • Internal Medicine Physician
  • Yankton, SD
  • NPI 1447251350

  Member Of

  NPD member

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Enas Al Zaghal, M.D

  • Endocrinology, Diabetes & Metabolism Physician
  • Norfolk, NE
  • NPI 1689014730
  NPD
• Charles Harper Jr., MD

  • Internal Medicine Physician
  • Norfolk, NE
  • NPI 1063620961
  NPD
• Benjamin N Lacrosse, M.D.

  • Diagnostic Radiology Physician
  • Norfolk, NE
  • NPI 1811375082
  NPD
• Alan J Spanel, MD

  • Internal Medicine Physician
  • Norfolk, NE
  • NPI 1023508892
  NPD
• Will R Eidsness, M.D.

  • Diagnostic Radiology Physician
  • Yankton, SD
  • NPI 1093912636
  NPD

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1437827482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 W 8TH ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783306",
            "telephone_number": "605-665-7841",
            "fax_number": "605-665-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W NORFOLK AVE STE R",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014405",
            "telephone_number": "402-379-2349",
            "fax_number": "402-379-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN POINT IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "MCMANUS",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-665-6919"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Forsell, RDN
• Duanea Naomi Forth
• Stephanie Foster
• William Paul Foster, MD
• Chelsey Foulk
• Fountain Point Laboratory LLC
• Jessica Fouts
• Jennie Dean Fowler
• Cindy Fox, BSN, RN
• Jeannie Sue Fox

• Radiology Clinic/Center in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Radiology Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.