Children & Adoleseant Clinic PC
Organization Active NPI Pediatrics Physician · Hastings, NE
NPI 1568942803 · NPPES record last updated Aug 16, 2018
Key facts
- NPI
- 1568942803
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- CHILDREN & ADOLESEANT CLINIC PC
- Practice address
- 2115 N Kansas Ave Ste 103
Hastings, NE 68901-2615 - Phone
- (402) 463-6728
- Fax
- (402) 463-4767
- NPI assigned
- Aug 16, 2018
- Organization subpart
- No
Authorized official
- Name
- Matthew Utecht
- Title
- Administrator
- Phone
- (402) 463-6828
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Children Adolescent Clinic
Locations
2115 N Kansas Ave
Ste 103
Hastings, NE 68901
Phone (402) 463-6728
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
2115 N Kansas Ave Ste 103
Hastings, NE 68901-2615
Mailing address
2115 N Kansas Ave Ste 103
Hastings, NE 68901-2615
Phone (402) 463-6728
Other providers in Hastings, NE
- Melissa Chesley
- Paige Chesley
- Child Focused Counseling LLC
- Children & Adolescent Clinic
- Children & Adoleseant Clinic PC
- Gary L. Chingren
- Thomas Lynn Choquette
- Rebecca Marie Christensen
- Breann Elizabeth Christian
- Joshua Church
All providers in Hastings, NE · Pediatrics Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.