NPIMap

Organization Active NPI

Holdrege Medical Clinic, P.C.

  • Family Medicine Physician
  • Holdrege, NE
National Provider Identifier
1619454485
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HOLDREGE MEDICAL CLINIC, P.C.
Practice address
516 W 14TH Ave Ste 100
Holdrege, NE 68949-1215
Phone
(308) 995-4431
NPI assigned
Jul 25, 2018
Last updated
Jul 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Authorized official

Name
Sharon Jensen
Title
Credentials
Phone
(308) 995-2847

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

516 W 14TH Ave Ste 100
Holdrege, NE 68949-1215

Mailing address

516 W 14TH Ave Ste 100
Holdrege, NE 68949-1215
Phone (308) 995-4431

National Provider Directory

National Provider Directory

Locations

1138 Miller St
Holdrege, NE 68949
Phone (308) 995-6288

516 W 14th Ave
#100
Holdrege, NE 68949
Phone (308) 995-4431

Practitioners & affiliated clinicians

Practitioners 11

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": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1619454485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 W 14TH AVE STE 100",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689491215",
            "telephone_number": "308-995-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W 14TH AVE STE 100",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689491215",
            "telephone_number": "308-995-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLDREGE MEDICAL CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "CREDENTIALS",
        "authorized_official_telephone_number": "308-995-2847"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holdrege, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.