Organization Active NPI

Friend Medical Center, PC

  • Rural Health Clinic/Center
  • Friend, NE
National Provider Identifier
1609043496
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
15963 Issued in NE
Legal business name
FRIEND MEDICAL CENTER, PC
Practice address
1210 2ND St
Friend, NE 68359-1116
Phone
(402) 947-2021
Fax
(402) 947-2127
NPI assigned
May 12, 2008
Last updated
Mar 21, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
FRIEND MEDICAL CENTER, RHCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Robert B McKeeman, MDNPI 1730164484
Title
President
Phone
(402) 947-2021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 15963 NE Primary

Addresses

Primary practice location

1210 2ND St
Friend, NE 68359-1116

Mailing address

1210 2ND St
Friend, NE 68359-1116
Phone (402) 947-2021

Other identifiers 1

IdentifierTypeStateIssuer
1609043496MedicaidNE

National Provider Directory

National Provider Directory
Part of
Friend Medical Center PC

Locations

830 E 1st St
Crete, NE 68333
Phone (402) 826-2255

611 N Main St
Wilber, NE 68465
Phone (402) 821-2331

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1609043496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 2ND ST",
            "city": "FRIEND",
            "state": "NE",
            "postal_code": "683591116",
            "telephone_number": "402-947-2021",
            "fax_number": "402-947-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 2ND ST",
            "city": "FRIEND",
            "state": "NE",
            "postal_code": "683591116",
            "telephone_number": "402-947-2021",
            "fax_number": "402-947-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIEND MEDICAL CENTER, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRIEND MEDICAL CENTER, RHC",
        "enumeration_date": "2008-05-12",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "MCKEEMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-947-2021",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NE",
            "license": "15963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609043496",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Friend, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.