High Plains Medical Foundation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HIGH PLAINS MEDICAL FOUNDATION

Doing business as

CAMS Medical Clinic

Practice address

562 Vincent Ave.
Chappell, NE 69129

Phone

(308) 874-2255

Fax

(308) 874-2854

NPI assigned

Jan 2, 2007

Last updated

Aug 2, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

WESTERN NEBRASKA HEALTH SYSTEMSAs reported in NPPES

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

Authorized official

Name

Mr. Craig Brauer

Title

Presidnet/Ceo

Phone

(308) 254-5544

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• CAMS Medical Clinic Doing business as

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186012800000",
    "number": "1619034253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 DORWART DR",
            "address_2": "PO BOX 379",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622505",
            "telephone_number": "308-254-5544",
            "fax_number": "308-254-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 VINCENT AVE.",
            "city": "CHAPPELL",
            "state": "NE",
            "postal_code": "69129",
            "telephone_number": "308-874-2255",
            "fax_number": "308-874-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH PLAINS MEDICAL FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN NEBRASKA HEALTH SYSTEMS",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-08-02",
        "status": "A",
        "authorized_official_last_name": "BRAUER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDNET/CEO",
        "authorized_official_telephone_number": "308-254-5544",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NE",
            "license": "283861",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CN7427",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025511600",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025499800",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1945",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAMS Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Chappell, NE
• Providers in Chappell, NE by specialty
• Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; 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.