Western Family Medicine PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WESTERN FAMILY MEDICINE PC

Practice address

2 W 42ND Street
Suite 2800
Scottsbluff, NE 69361-4660

Phone

(308) 630-7977

Fax

(308) 630-1028

NPI assigned

Jul 19, 2005

Organization subpart

No

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

Authorized official

Name

Edward C. McCoy

Title

Secretary

Phone

(308) 630-7977

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1669471801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1498",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693631498",
            "telephone_number": "308-630-7977",
            "fax_number": "308-630-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W 42ND STREET",
            "address_2": "SUITE 2800",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614660",
            "telephone_number": "308-630-7977",
            "fax_number": "308-630-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "308-630-7977"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026385500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.